Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $12.02 / $39.81	Facility		$10.00	$12.02	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.45 / $39.81	Professional		$10.00	$14.45	$39.81
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $25.12 / $25.12 / $25.12	Professional	25	$25.12	$25.12	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.60 / $27.54	Professional		$11.48	$16.60	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $19.50 / $64.57	Facility		$17.78	$19.50	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.62 / $33.11	Professional		$12.88	$18.62	$33.11
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $14.79 / $19.05	Professional		$7.59	$14.79	$19.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $12.88 / $16.22	Facility		$0.02	$12.88	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $14.79 / $23.99	Professional		$10.47	$14.79	$23.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.30 / $15.49	Professional		$10.47	$12.30	$15.49