Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $60.26 / $177.83	Facility		$26.30	$60.26	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $138.04	Professional		$20.89	$30.20	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.22 / $54.95	Professional		$12.88	$16.22	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $24.55 / $93.33	Facility		$16.60	$24.55	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.88 / $50.12	Professional		$15.49	$21.88	$50.12
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $14.45 / $22.91	Facility		$7.59	$14.45	$22.91
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $24.55 / $41.69	Professional		$22.91	$24.55	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $32.36 / $33.11	Professional		$6.92	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $20.89 / $30.90	Facility		$13.80	$20.89	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.42 / $66.07	Professional		$15.49	$20.42	$66.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $26.30 / $26.30	Professional		$11.75	$26.30	$26.30