Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.95 / $82.95 / $82.95	Facility		$82.95	$82.95	$82.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $24.02 / $33.54	Professional		$17.48	$24.02	$33.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $13.25	Professional		$13.25	$13.25	$13.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $13.93 / $13.93	Professional		$13.93	$13.93	$13.93
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $23.72 / $27.97	Professional		$13.99	$23.72	$27.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.07 / $34.07 / $34.07	Professional		$34.07	$34.07	$34.07
United Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $14.57 / $60.93	Professional		$9.27	$14.57	$60.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $13.08 / $13.08	Professional		$13.08	$13.08	$13.08