Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.69 / $64.58 / $75.98	Facility		$53.69	$64.58	$75.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.11 / $64.38 / $91.20	Professional		$51.11	$64.38	$91.20
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $81.11 / $81.11 / $110.00	Professional	25	$81.11	$81.11	$110.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.70 / $59.64 / $87.12	Professional		$49.70	$59.64	$87.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.34 / $110.34 / $110.34	Facility		$110.34	$110.34	$110.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $71.00 / $120.66	Professional		$38.00	$71.00	$120.66
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $51.97 / $65.36	Professional		$30.23	$51.97	$65.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.63 / $107.15 / $147.35	Professional		$62.63	$107.15	$147.35
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $67.76 / $112.25	Professional		$40.00	$67.76	$112.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.92 / $51.50 / $62.12	Professional		$48.92	$51.50	$62.12