Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $62.60 / $15,234.60	Facility		$27.86	$62.60	$15,234.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $28.14 / $80.20	Professional		$27.86	$28.14	$80.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $28.85 / $53.56	Professional		$28.85	$28.85	$53.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.34 / $27.86 / $33.90	Facility		$22.34	$27.86	$33.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $27.86	Professional		$27.86	$27.86	$27.86
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $27.86 / $27.86	Facility		$27.86	$27.86	$27.86
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $27.86 / $27.86	Professional		$13.93	$27.86	$27.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $44.43 / $53.38	Professional		$40.00	$44.43	$53.38
United Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $29.53 / $31.01	Professional		$27.86	$29.53	$31.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $28.85 / $28.85	Professional		$27.86	$28.85	$28.85