Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.49 / $96.49 / $129.96	Facility		$96.49	$96.49	$129.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.11 / $34.83 / $73.30	Professional		$23.11	$34.83	$73.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $32.65 / $54.58	Professional		$13.00	$32.65	$54.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $33.01 / $71.94	Professional		$18.17	$33.01	$71.94
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $45.73 / $77.31	Professional		$36.90	$45.73	$77.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.45 / $71.37 / $93.78	Professional		$49.45	$71.37	$93.78
United Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $33.53 / $127.55	Professional		$25.27	$33.53	$127.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $41.61 / $41.61	Professional		$18.72	$41.61	$41.61