Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.99 / $70.53 / $106.00	Professional		$39.99	$70.53	$106.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $72.92 / $94.51 / $209.56	Professional	25	$72.92	$94.51	$209.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $85.35 / $139.56	Professional		$77.81	$85.35	$139.56
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $72.70 / $78.67 / $92.10	Professional	25	$72.70	$78.67	$92.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $69.63 / $140.18	Professional		$39.93	$69.63	$140.18
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $61.38 / $98.59	Professional		$26.86	$61.38	$98.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $109.59 / $164.82	Professional		$77.52	$109.59	$164.82
United Facility/Professional Professional Modifier Low / Median / High Price $47.61 / $68.31 / $108.82	Professional		$47.61	$68.31	$108.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $60.00 / $75.00	Professional		$37.79	$60.00	$75.00