Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $118.00 / $339.00	Facility		$21.05	$118.00	$339.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $39.01 / $139.75 / $826.64	Facility	CQ	$39.01	$139.75	$826.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $23.29 / $37.76	Professional		$17.55	$23.29	$37.76
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $39.27 / $39.27 / $39.27	Professional	CQ	$39.27	$39.27	$39.27
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $17.42 / $24.99 / $33.20	Professional	CQ	$17.42	$24.99	$33.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $55.00 / $65.00	Facility		$45.00	$55.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.35 / $44.13 / $105.85	Professional		$23.35	$44.13	$105.85
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $11.31 / $15.60 / $21.84	Facility		$11.31	$15.60	$21.84
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $17.18 / $21.87 / $26.43	Professional		$17.18	$21.87	$26.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $36.17 / $49.49	Professional		$25.87	$36.17	$49.49
United Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $24.81 / $36.09	Professional		$21.07	$24.81	$36.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.33 / $27.33 / $32.24	Professional		$27.33	$27.33	$32.24