Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $52.48 / $870.96	Facility		$19.05	$52.48	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.18 / $97.72	Professional		$16.98	$28.18	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.38 / $30.90	Professional		$16.98	$21.38	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $154.88 / $257.04	Facility		$22.91	$154.88	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $29.51 / $93.33	Professional		$17.38	$29.51	$93.33
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $46.77 / $67.61	Facility		$45.71	$46.77	$67.61
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $19.05 / $44.67	Professional		$13.80	$19.05	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $32.36 / $42.66	Professional		$15.49	$32.36	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $154.88 / $162.18	Facility		$17.38	$154.88	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $25.70 / $66.07	Professional		$16.22	$25.70	$66.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.95 / $22.91	Professional		$14.13	$19.95	$22.91