Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $27.35 / $55.01	Professional		$19.89	$27.35	$55.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $22.46 / $41.94	Professional		$17.12	$22.46	$41.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $34.17 / $68.87	Professional		$19.75	$34.17	$68.87
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $14.71 / $36.21	Professional		$12.89	$14.71	$36.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $34.91 / $57.96	Professional		$24.32	$34.91	$57.96
United Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $30.46 / $53.43	Professional		$19.32	$30.46	$53.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $15.32 / $15.32	Professional		$15.32	$15.32	$15.32