Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $46.62 / $341.56	Facility		$25.20	$46.62	$341.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $25.20 / $30.24	Professional		$23.50	$25.20	$30.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $24.62 / $24.62	Professional		$19.98	$24.62	$24.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $25.20 / $76.22	Facility		$23.78	$25.20	$76.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $25.20	Professional		$25.20	$25.20	$25.20
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $25.20 / $56.90	Facility		$25.20	$25.20	$56.90
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $13.32 / $26.63 / $26.63	Professional		$13.32	$26.63	$26.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $14.08 / $21.76	Professional		$12.80	$14.08	$21.76
United Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $26.71 / $28.05	Professional		$25.20	$26.71	$28.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $23.50 / $25.20	Professional		$23.50	$23.50	$25.20