Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.12 / $71.12 / $71.12	Facility		$71.12	$71.12	$71.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $60.00 / $71.12	Professional		$20.00	$60.00	$71.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $105.60 / $189.75	Professional		$14.84	$105.60	$189.75
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $77.56 / $158.41 / $200.98	Professional		$77.56	$158.41	$200.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $70.00	Professional		$40.00	$40.00	$70.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $230.00 / $230.00	Professional		$230.00	$230.00	$230.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $68.44 / $68.44	Professional		$68.44	$68.44	$68.44