Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.04 / $87.77 / $337.83	Facility		$21.04	$87.77	$337.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $49.03 / $71.95	Professional		$16.22	$49.03	$71.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.09 / $97.09 / $97.09	Professional		$97.09	$97.09	$97.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.89 / $28.89 / $28.89	Facility		$28.89	$28.89	$28.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $50.88 / $107.05	Professional		$18.27	$50.88	$107.05
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $58.17 / $82.61	Professional		$28.07	$58.17	$82.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $69.55 / $109.46	Professional		$5.41	$69.55	$109.46
United Facility/Professional Professional Modifier Low / Median / High Price $50.48 / $68.63 / $110.95	Professional		$50.48	$68.63	$110.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $13.53 / $13.53	Professional		$3.28	$13.53	$13.53