Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.77 / $47.67 / $85.30	Facility		$25.77	$47.67	$85.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $25.77 / $32.21	Professional		$23.93	$25.77	$32.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.34 / $25.77 / $25.77	Professional		$20.34	$25.77	$25.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $25.77 / $27.14	Facility		$20.23	$25.77	$27.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $25.77 / $25.77	Professional		$25.77	$25.77	$25.77
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $25.77 / $25.77 / $25.77	Facility		$25.77	$25.77	$25.77
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $25.77 / $25.77	Professional		$12.89	$25.77	$25.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.06 / $1.16 / $1.80	Professional		$1.06	$1.16	$1.80
United Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $27.32 / $28.69	Professional		$25.77	$27.32	$28.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $23.93 / $25.77	Professional		$23.93	$23.93	$25.77