Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $25.70 / $4,073.80	Facility		$14.13	$25.70	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $16.98	Professional		$14.13	$14.13	$16.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $14.13 / $17.38	Facility		$13.49	$14.13	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.45	Facility		$14.13	$14.13	$14.45
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $14.13 / $14.13	Professional		$7.08	$14.13	$14.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.60 / $26.92	Professional		$14.79	$16.60	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $14.45 / $25.12	Facility		$13.80	$14.45	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.14 / $15.85	Professional		$13.80	$15.14	$15.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13