Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.21 / $55.73 / $86.66	Facility		$21.21	$55.73	$86.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $55.73 / $83.09	Professional		$23.41	$55.73	$83.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $29.23 / $29.23	Professional		$29.23	$29.23	$29.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.21 / $42.21 / $42.21	Facility		$42.21	$42.21	$42.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $66.64 / $126.60	Professional		$27.34	$66.64	$126.60
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $31.68 / $65.65 / $90.08	Professional		$31.68	$65.65	$90.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $106.15 / $164.82	Professional		$34.97	$106.15	$164.82
United Facility/Professional Professional Modifier Low / Median / High Price $56.84 / $77.34 / $125.01	Professional		$56.84	$77.34	$125.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $34.97 / $34.97	Professional		$19.66	$34.97	$34.97