Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $416.87	Professional		$67.61	$89.13	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $102.33 / $173.78	Professional		$74.13	$102.33	$173.78
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $371.54 / $524.81	Facility		$281.84	$371.54	$524.81
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $37.15 / $54.95	Professional		$20.89	$37.15	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $302.00	Professional		$32.36	$39.81	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $131.83	Professional		$60.26	$79.43	$131.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $100.00 / $100.00	Professional		$19.95	$100.00	$100.00