Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $20.00 / $20.00	Facility		$12.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $20.00 / $20.00	Professional		$12.00	$20.00	$20.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $22.00 / $22.00	Facility		$22.00	$22.00	$22.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $18.70 / $18.70	Professional		$18.70	$18.70	$18.70
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $43.24 / $47.19	Professional		$14.16	$43.24	$47.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.59 / $59.04	Professional		$40.00	$40.59	$59.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $36.90 / $36.90	Professional		$36.90	$36.90	$36.90