Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $47.66 / $1,427.40	Facility		$20.35	$47.66	$1,427.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.55 / $31.10	Professional		$20.35	$20.55	$31.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $28.27 / $29.68	Professional		$25.60	$28.27	$29.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $20.35 / $57.94	Facility		$19.20	$20.35	$57.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $20.35	Professional		$20.35	$20.35	$20.35
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $19.76 / $20.35 / $20.35	Facility		$19.76	$20.35	$20.35
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $21.50 / $21.50	Professional		$10.75	$21.50	$21.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $2.15 / $3.13	Professional		$1.96	$2.15	$3.13
United Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $21.57 / $22.65	Professional		$20.35	$21.57	$22.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $28.27 / $28.27	Professional		$20.35	$28.27	$28.27