Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $79.43 / $165.96	Facility		$23.99	$79.43	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $53.70	Professional		$21.88	$26.92	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.89 / $33.11	Professional		$16.60	$20.89	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $30.90 / $134.90	Facility		$20.89	$30.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $25.12 / $57.54	Professional		$16.60	$25.12	$57.54
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $144.54 / $229.09	Facility		$74.13	$144.54	$229.09
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $29.51	Professional		$19.95	$19.95	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $19.95 / $36.31	Professional		$4.47	$19.95	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $27.54 / $33.11	Facility		$14.13	$27.54	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $67.61	Professional		$15.14	$20.89	$67.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $19.95 / $19.95	Professional		$9.12	$19.95	$19.95