Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.99 / $87.12 / $174.24	Facility		$45.99	$87.12	$174.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $14.81 / $25.18	Professional		$10.48	$14.81	$25.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $21.32 / $28.26	Professional		$20.07	$21.32	$28.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.71 / $17.71 / $41.47	Facility		$17.71	$17.71	$41.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $13.99	Professional		$13.99	$13.99	$13.99
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $28.95 / $28.95 / $28.95	Facility		$28.95	$28.95	$28.95
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $12.57 / $35.28	Professional		$5.87	$12.57	$35.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.08 / $21.28 / $24.43	Professional		$18.08	$21.28	$24.43
United Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $15.36 / $26.34	Professional		$11.12	$15.36	$26.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $12.97 / $12.97	Professional		$12.97	$12.97	$12.97