Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $339.21 / $1,028.94	Facility		$15.90	$339.21	$1,028.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $16.36	Professional		$14.73	$14.73	$16.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $12.78 / $33.14	Professional		$10.31	$12.78	$33.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.90 / $14.73 / $34.96	Facility		$13.90	$14.73	$34.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $14.73	Professional		$14.73	$14.73	$14.73
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $14.73 / $14.73	Facility		$14.73	$14.73	$14.73
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $15.56 / $15.56	Professional		$14.73	$15.56	$15.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $26.33 / $26.33	Professional		$26.33	$26.33	$26.33
United Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $15.47	Professional		$14.73	$14.73	$15.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $14.70 / $14.73	Professional		$14.70	$14.70	$14.73