Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.85 / $51.79 / $63.25	Facility		$48.85	$51.79	$63.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $55.54 / $69.84	Professional		$46.80	$55.54	$69.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.52 / $59.52 / $59.52	Professional		$59.52	$59.52	$59.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $78.31 / $188.16	Facility		$78.31	$78.31	$188.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $55.95 / $55.95	Professional		$55.95	$55.95	$55.95
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $58.02 / $74.59	Professional		$28.32	$58.02	$74.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $74.36 / $121.42	Professional		$56.00	$74.36	$121.42
United Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $63.79 / $68.70	Facility		$0.07	$63.79	$68.70
United Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $67.34 / $109.16	Professional		$49.72	$67.34	$109.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $51.90 / $51.90	Professional		$48.31	$51.90	$51.90