Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.55 / $7.23 / $42.42	Facility		$5.55	$7.23	$42.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $8.30 / $18.75	Professional		$6.55	$8.30	$18.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $8.44 / $16.88	Professional		$8.28	$8.44	$16.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.12 / $21.12 / $21.41	Facility		$21.12	$21.12	$21.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $15.42 / $21.12	Professional		$15.42	$15.42	$21.12
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $99,999.99 / $99,999.99	Facility		$14.00	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $12.29 / $25.00	Professional		$8.60	$12.29	$25.00
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 Facility Modifier Low / Median / High Price $6.17 / $8.00 / $9.77	Facility		$6.17	$8.00	$9.77
United Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $8.06 / $12.87	Professional		$6.75	$8.06	$12.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13