Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $48.39 / $96.95	Facility		$29.29	$48.39	$96.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $29.29 / $34.27	Professional		$28.70	$29.29	$34.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $28.70 / $34.44	Professional		$28.70	$28.70	$34.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.63 / $29.29 / $30.91	Facility		$27.63	$29.29	$30.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $29.29	Professional		$29.29	$29.29	$29.29
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $29.29 / $29.29	Facility		$29.29	$29.29	$29.29
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $29.29 / $29.29	Professional		$14.65	$29.29	$29.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.08 / $37.75 / $54.91	Professional		$33.08	$37.75	$54.91
United Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $29.29 / $29.29	Facility		$29.29	$29.29	$29.29
United Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $31.05 / $32.61	Professional		$29.29	$31.05	$32.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $28.70 / $29.29	Professional		$28.70	$28.70	$29.29