Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.72 / $118.29 / $269.50	Facility		$105.72	$118.29	$269.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.95 / $156.93 / $215.00	Professional		$119.95	$156.93	$215.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $105.00 / $146.00 / $234.12	Professional	25	$105.00	$146.00	$234.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.50 / $141.65 / $242.28	Professional		$110.50	$141.65	$242.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.00 / $261.00 / $280.49	Facility		$261.00	$261.00	$280.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.74 / $173.00 / $291.20	Professional		$101.74	$173.00	$291.20
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $125.62 / $134.28 / $170.71	Professional		$125.62	$134.28	$170.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.02 / $186.27 / $249.82	Professional		$135.02	$186.27	$249.82
United Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $162.94 / $271.85	Professional		$110.00	$162.94	$271.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.17 / $147.77 / $160.38	Professional		$126.17	$147.77	$160.38