Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.10 / $185.10 / $185.10	Facility		$185.10	$185.10	$185.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $44.23 / $293.88	Professional		$22.72	$44.23	$293.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $20.97 / $56.02	Professional		$13.00	$20.97	$56.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $41.78 / $100.51	Professional		$18.59	$41.78	$100.51
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $51.27 / $76.98	Professional		$34.18	$51.27	$76.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.65 / $36.17 / $47.91	Professional		$21.65	$36.17	$47.91
United Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $35.40 / $114.75	Professional		$21.36	$35.40	$114.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $27.06 / $27.06	Professional		$12.18	$27.06	$27.06