Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $82.95	Facility		$25.00	$25.00	$82.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $26.25 / $28.00	Professional		$20.76	$26.25	$28.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $15.97 / $26.61	Professional		$13.31	$15.97	$26.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $25.42 / $52.15	Professional		$16.03	$25.42	$52.15
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $26.61 / $34.70	Professional		$15.97	$26.61	$34.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $14.05 / $23.25	Professional		$3.50	$14.05	$23.25
United Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $21.11 / $66.53	Professional		$12.52	$21.11	$66.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $15.97 / $15.97	Professional		$7.19	$15.97	$15.97