Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $53.70 / $151.36	Facility		$14.13	$53.70	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $42.66	Professional		$14.13	$15.14	$42.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.59 / $18.62	Professional		$10.72	$12.59	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $39.81	Professional		$19.95	$19.95	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $26.30	Facility		$19.05	$19.05	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.80 / $17.38	Professional		$13.49	$13.80	$17.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30