Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $37.45 / $74.61	Facility		$22.54	$37.45	$74.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $22.54 / $24.79	Professional		$22.21	$22.54	$24.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $22.21 / $41.85	Professional		$22.21	$22.21	$41.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $22.54 / $22.64	Facility		$21.26	$22.54	$22.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $22.54	Professional		$22.54	$22.54	$22.54
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $22.54 / $22.54	Facility		$22.54	$22.54	$22.54
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $22.54 / $22.54	Professional		$11.27	$22.54	$22.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.55 / $2.39	Professional		$1.40	$1.55	$2.39
United Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $23.89 / $25.02	Professional		$22.54	$23.89	$25.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $22.21 / $22.54	Professional		$22.21	$22.21	$22.54