Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.57 / $112.22 / $392.25	Facility		$22.57	$112.22	$392.25
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $25.99 / $82.38 / $427.86	Facility	CQ	$25.99	$82.38	$427.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $19.02 / $31.68	Professional		$14.30	$19.02	$31.68
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $15.48 / $40.11 / $44.71	Professional	CQ	$15.48	$40.11	$44.71
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $14.80 / $19.11 / $19.11	Professional	CQ	$14.80	$19.11	$19.11
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 $18.79 / $36.69 / $105.73	Professional		$18.79	$36.69	$105.73
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $13.96 / $19.60	Facility		$9.80	$13.96	$19.60
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $19.18 / $23.71	Professional		$15.41	$19.18	$23.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.06 / $40.81 / $49.03	Professional		$36.06	$40.81	$49.03
United Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $20.73 / $31.09	Professional		$17.67	$20.73	$31.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $23.19 / $27.39	Professional		$23.19	$23.19	$27.39