Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $25.12 / $25.12	Facility		$23.99	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $42.66	Professional		$23.99	$23.99	$42.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $23.44 / $38.02	Professional		$12.02	$23.44	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $42.66	Professional		$41.69	$41.69	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $30.20 / $37.15	Facility		$27.54	$30.20	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $34.67	Professional		$27.54	$27.54	$34.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54