Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $309.03 / $676.08	Facility		$39.81	$309.03	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $43.65 / $75.86	Professional		$25.12	$43.65	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $29.51 / $46.77	Professional		$19.95	$29.51	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $4.37 / $4.37 / $4.37	Facility	AS	$4.37	$4.37	$4.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $30.90 / $53.70	Professional		$18.62	$30.90	$53.70
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $36.31 / $58.88	Professional		$34.67	$36.31	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $36.31	Professional		$32.36	$33.11	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $489.78 / $489.78	Facility		$467.74	$489.78	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $31.62 / $48.98	Professional		$19.95	$31.62	$48.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $42.66	Professional		$21.88	$21.88	$42.66