Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $50.12 / $6,165.95	Facility		$25.70	$50.12	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.70 / $32.36	Professional		$25.12	$25.70	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $26.92	Professional		$21.88	$25.70	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $25.70 / $28.84	Facility		$20.42	$25.70	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $25.70 / $25.70	Professional		$12.88	$25.70	$25.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.15 / $1.95	Professional		$1.07	$1.15	$1.95
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $26.92 / $47.86	Facility		$25.70	$26.92	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $27.54 / $28.84	Professional		$25.70	$27.54	$28.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70