Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $60.26 / $229.09	Facility		$16.60	$60.26	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.88 / $151.36	Professional		$38.90	$58.88	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $109.65	Professional		$54.95	$72.44	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $91.20	Facility		$67.61	$67.61	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $67.61	Professional		$48.98	$48.98	$67.61
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $60.26	Facility		$42.66	$42.66	$60.26
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $54.95 / $85.11	Professional		$27.54	$54.95	$85.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $64.57	Professional		$33.88	$52.48	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $48.98 / $79.43	Facility		$38.02	$48.98	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $70.79	Professional		$40.74	$58.88	$70.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $77.62	Professional		$52.48	$52.48	$77.62