Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $275.42 / $676.08	Facility		$120.23	$275.42	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $134.90 / $933.25	Professional		$19.95	$134.90	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $38.90	Professional		$10.96	$14.13	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $26.30 / $57.54	Professional		$12.02	$26.30	$57.54
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $83.18	Professional		$21.88	$27.54	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $32.36 / $33.11	Professional		$3.98	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $30.20	Facility		$9.33	$9.33	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $19.95 / $58.88	Professional		$10.72	$19.95	$58.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $17.38 / $17.38	Professional		$7.76	$17.38	$17.38