Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.69 / $90.64 / $494.97	Facility		$38.69	$90.64	$494.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $29.88 / $30.60	Professional		$28.80	$29.88	$30.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Professional		$200.00	$200.00	$200.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $30.60 / $30.60	Facility		$30.60	$30.60	$30.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $30.60 / $30.60	Professional		$30.60	$30.60	$30.60
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $22.39 / $22.39	Facility		$21.53	$22.39	$22.39
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.53 / $21.53	Professional		$21.53	$21.53	$21.53
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 $30.00 / $30.00 / $30.90	Professional		$30.00	$30.00	$30.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $22.87 / $22.87	Professional		$22.87	$22.87	$22.87