Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $51.78 / $831.98	Facility		$27.99	$51.78	$831.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $28.27 / $41.56	Professional		$27.99	$28.27	$41.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $24.93 / $41.99	Professional		$24.93	$24.93	$41.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.92 / $27.99 / $27.99	Facility		$19.92	$27.99	$27.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $27.99	Professional		$27.99	$27.99	$27.99
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $27.99 / $27.99	Facility		$27.99	$27.99	$27.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $27.99 / $27.99	Professional		$14.00	$27.99	$27.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.71 / $117.38 / $170.73	Professional		$106.71	$117.38	$170.73
United Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $29.67 / $31.16	Professional		$27.99	$29.67	$31.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $28.62 / $28.62	Professional		$27.99	$28.62	$28.62