Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $194.98 / $776.25	Facility		$38.90	$194.98	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.84 / $36.31	Professional		$28.18	$28.84	$36.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $22.39 / $25.70	Facility		$21.38	$22.39	$25.70
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.70 / $25.70	Professional		$21.38	$25.70	$25.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $60.26	Professional		$39.81	$39.81	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $36.31 / $48.98	Facility		$30.20	$36.31	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.90	Professional		$30.20	$30.20	$30.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $22.91 / $22.91	Professional		$21.38	$22.91	$22.91