Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $61.86 / $100.31	Professional		$36.43	$61.86	$100.31
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $71.94 / $92.20 / $202.12	Professional	25	$71.94	$92.20	$202.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $75.18 / $132.03	Professional		$70.62	$75.18	$132.03
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $70.62 / $70.62 / $103.73	Professional	25	$70.62	$70.62	$103.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $66.56 / $133.55	Professional		$36.79	$66.56	$133.55
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $61.60 / $93.58	Professional		$25.59	$61.60	$93.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $109.51 / $164.82	Professional		$77.52	$109.51	$164.82
United Facility/Professional Professional Modifier Low / Median / High Price $50.73 / $66.36 / $102.52	Professional		$50.73	$66.36	$102.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.21 / $60.00 / $75.00	Professional		$34.21	$60.00	$75.00