Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $21.88 / $33.11	Facility		$16.22	$21.88	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $37.15	Professional		$21.88	$21.88	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.88 / $22.91	Professional		$18.62	$21.88	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $21.88	Professional		$19.95	$19.95	$21.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $38.02	Professional		$32.36	$33.11	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $22.91 / $38.90	Facility		$21.88	$22.91	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $25.12	Professional		$19.95	$19.95	$25.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88