Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $123.03 / $295.12	Facility		$23.44	$123.03	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $54.95	Professional		$19.95	$26.92	$54.95
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $204.17 / $204.17 / $204.17	Professional	CQ	$204.17	$204.17	$204.17
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $27.54 / $27.54 / $27.54	Professional	CQ	$27.54	$27.54	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $54.95 / $70.79	Facility		$44.67	$54.95	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $57.54	Professional		$23.99	$30.20	$57.54
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $19.50 / $28.84	Facility		$13.80	$19.50	$28.84
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $25.70 / $30.20	Professional		$12.30	$25.70	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $36.31 / $37.15	Facility		$19.50	$36.31	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $29.51 / $40.74	Professional		$24.55	$29.51	$40.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $41.69	Professional		$30.90	$30.90	$41.69