Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $46.77 / $257.04	Facility		$34.67	$46.77	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $42.66 / $66.07	Professional		$19.95	$42.66	$66.07
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $64.57 / $64.57 / $64.57	Professional	25	$64.57	$64.57	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $31.62	Professional		$18.20	$22.91	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.20 / $61.66	Professional		$19.95	$30.20	$61.66
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $31.62	Professional		$18.20	$21.88	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $32.36 / $44.67	Professional		$19.05	$32.36	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $39.81 / $39.81	Facility		$20.89	$39.81	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.36 / $51.29	Professional		$20.89	$32.36	$51.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.39 / $30.20	Professional		$19.05	$22.39	$30.20