Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.63 / $63.79 / $316.61	Facility		$41.63	$63.79	$316.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.49 / $63.79 / $65.33	Professional		$61.49	$63.79	$65.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.12 / $46.12 / $46.12	Professional		$46.12	$46.12	$46.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $65.33 / $65.33	Facility		$65.33	$65.33	$65.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $65.33 / $65.33	Professional		$65.33	$65.33	$65.33
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $24.70 / $25.69 / $25.69	Facility		$24.70	$25.69	$25.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $24.70	Professional		$24.70	$24.70	$24.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $64.05 / $67.25	Professional		$64.05	$64.05	$67.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.56 / $20.56 / $20.56	Professional		$20.56	$20.56	$20.56