Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $93.33 / $831.76	Facility		$29.51	$93.33	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.05 / $104.71	Professional		$14.13	$19.05	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $26.30 / $87.10	Facility		$17.78	$26.30	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $17.78 / $42.66	Professional		$12.02	$17.78	$42.66
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $16.98	Professional		$12.88	$12.88	$16.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $12.88 / $23.44	Professional		$2.82	$12.88	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $19.50 / $26.30	Facility		$10.96	$19.50	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.88 / $42.66	Professional		$9.55	$12.88	$42.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $12.88 / $12.88	Professional		$5.75	$12.88	$12.88