Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $81.28 / $165.96	Facility		$22.91	$81.28	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $32.36	Professional		$19.05	$22.91	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $14.79	Professional		$1.00	$1.00	$14.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $27.54 / $120.23	Facility		$18.62	$27.54	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $36.31 / $141.25	Professional		$19.05	$36.31	$141.25
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $28.18	Professional		$17.78	$17.78	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.99 / $26.92	Professional		$17.78	$23.99	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $26.92 / $29.51	Facility		$12.30	$26.92	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.80 / $46.77	Professional		$11.48	$13.80	$46.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $17.78 / $17.78	Professional		$7.94	$17.78	$17.78