Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $122.73 / $1,636.00	Facility		$25.81	$122.73	$1,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $35.40 / $61.65	Professional		$27.03	$35.40	$61.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $43.01 / $73.44	Professional		$39.22	$43.01	$73.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.04 / $39.04 / $96.04	Facility		$39.04	$39.04	$96.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.28 / $47.65 / $82.59	Professional		$31.28	$47.65	$82.59
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $29.34 / $33.78 / $35.56	Facility		$29.34	$33.78	$35.56
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $22.84 / $36.89 / $46.67	Professional		$22.84	$36.89	$46.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.57 / $36.48 / $60.63	Professional		$26.57	$36.48	$60.63
United Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $39.76 / $65.31	Professional		$26.50	$39.76	$65.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $26.81 / $26.81	Professional		$26.81	$26.81	$26.81