Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $12.86 / $14.48	Facility		$12.86	$12.86	$14.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $14.48	Professional		$12.86	$12.86	$14.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $12.86 / $12.86	Facility		$12.13	$12.86	$12.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $12.86	Professional		$12.86	$12.86	$12.86
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $12.86 / $12.86	Facility		$12.86	$12.86	$12.86
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $13.59 / $13.59	Professional		$6.80	$13.59	$13.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $22.16 / $66.23	Professional		$18.45	$22.16	$66.23
United Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $12.86	Professional		$12.86	$12.86	$12.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $14.48 / $14.48	Professional		$12.86	$14.48	$14.48