Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $14.74 / $958.44	Facility		$6.73	$14.74	$958.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.80 / $12.09	Professional		$6.73	$6.80	$12.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.98 / $9.66	Professional		$6.73	$6.98	$9.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $6.73 / $85.00	Facility		$6.35	$6.73	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $6.73	Professional		$6.73	$6.73	$6.73
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $6.73 / $84.32	Facility		$6.73	$6.73	$84.32
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $6.73 / $6.73	Professional		$3.37	$6.73	$6.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.14 / $65.06 / $94.63	Professional		$59.14	$65.06	$94.63
United Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $7.13 / $7.49	Professional		$6.73	$7.13	$7.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.98 / $6.98	Professional		$6.73	$6.98	$6.98