Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.29 / $105.72 / $146.15	Facility		$79.29	$105.72	$146.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.62 / $127.51 / $191.30	Professional		$96.62	$127.51	$191.30
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $79.29 / $124.37 / $124.37	Professional	25	$79.29	$124.37	$124.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.66 / $115.08 / $154.29	Professional		$86.66	$115.08	$154.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $117.00 / $231.96	Facility		$117.00	$117.00	$231.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $126.00 / $206.04	Professional		$78.00	$126.00	$206.04
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $109.35 / $138.10	Professional		$60.00	$109.35	$138.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.63 / $179.72 / $247.35	Professional		$123.63	$179.72	$247.35
United Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $133.37 / $223.89	Professional		$98.00	$133.37	$223.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.21 / $121.79 / $131.68	Professional		$106.21	$121.79	$131.68