Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $63.10 / $245.47	Facility		$42.66	$63.10	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $42.66 / $52.48	Professional		$41.69	$42.66	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $56.23 / $69.18	Professional		$37.15	$56.23	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.84 / $28.84	Facility		$28.18	$28.84	$28.84
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $47.86	Professional		$28.18	$33.11	$47.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $61.66 / $83.18	Facility		$50.12	$61.66	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $51.29	Professional		$50.12	$50.12	$51.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $51.29 / $51.29	Professional		$48.98	$51.29	$51.29