Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $5.00 / $5.00	Facility		$3.00	$5.00	$5.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $5.00 / $5.00	Professional		$3.00	$5.00	$5.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $1.80 / $75.00	Professional		$1.80	$1.80	$75.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.12 / $4.12 / $4.12	Facility		$4.12	$4.12	$4.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.50 / $4.12	Professional		$3.50	$3.50	$4.12
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1.56 / $4.62 / $4.62	Facility		$1.56	$4.62	$4.62
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $4.62 / $5.71	Professional		$4.62	$4.62	$5.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $3.11 / $5.43	Professional		$0.24	$3.11	$5.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $3.83 / $3.83	Professional		$3.83	$3.83	$3.83