Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $75.86 / $186.21	Professional		$38.90	$75.86	$186.21
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $72.44 / $112.20 / $173.78	Professional	25	$72.44	$112.20	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $75.86 / $131.83	Professional		$52.48	$75.86	$131.83
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $70.79 / $104.71 / $165.96	Professional	25	$70.79	$104.71	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $67.61 / $141.25	Professional		$37.15	$67.61	$141.25
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $63.10 / $91.20	Professional		$30.20	$63.10	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $100.00	Professional		$32.36	$33.11	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $89.13	Professional		$33.88	$52.48	$89.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $54.95 / $75.86	Professional		$33.88	$54.95	$75.86