Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.50 / $19.50	Facility		$19.05	$19.50	$19.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $21.88	Professional		$19.05	$19.05	$21.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.02 / $14.13	Professional		$7.59	$12.02	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $28.18	Professional		$22.91	$22.91	$28.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88