Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $20.22 / $27.34	Facility		$12.28	$20.22	$27.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $12.28 / $15.06	Professional		$11.99	$12.28	$15.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $15.62 / $26.36	Professional		$15.62	$15.62	$26.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $12.28 / $20.21	Facility		$11.59	$12.28	$20.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $12.28	Professional		$12.28	$12.28	$12.28
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $12.28 / $12.28	Facility		$12.28	$12.28	$12.28
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $12.28 / $12.28	Professional		$6.14	$12.28	$12.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $45.32 / $65.92	Professional		$41.20	$45.32	$65.92
United Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $13.02 / $13.67	Professional		$12.28	$13.02	$13.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $11.99 / $12.28	Professional		$11.99	$11.99	$12.28