Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $91.20 / $309.03	Facility		$29.51	$91.20	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $45.71 / $147.91	Professional		$25.70	$45.71	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $17.38 / $24.55	Professional		$13.18	$17.38	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $42.66 / $141.25	Facility		$28.84	$42.66	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $29.51 / $69.18	Professional		$19.50	$29.51	$69.18
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $141.25 / $263.03	Facility		$30.90	$141.25	$263.03
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $35.48	Professional		$20.89	$20.89	$35.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $20.89 / $40.74	Professional		$4.68	$20.89	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $31.62 / $43.65	Facility		$17.78	$31.62	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.78 / $56.23	Professional		$12.30	$17.78	$56.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $20.89 / $20.89	Professional		$9.55	$20.89	$20.89