Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $104.45 / $163.61	Professional		$53.87	$104.45	$163.61
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $27.70 / $125.43 / $280.29	Professional	25	$27.70	$125.43	$280.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.51 / $118.13 / $197.35	Professional		$112.51	$118.13	$197.35
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $109.45 / $121.01 / $197.35	Professional	25	$109.45	$121.01	$197.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.95 / $99.95 / $199.59	Professional		$59.95	$99.95	$199.59
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $39.18 / $88.63 / $139.88	Professional		$39.18	$88.63	$139.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.37 / $111.15 / $168.26	Professional		$82.37	$111.15	$168.26
United Facility/Professional Professional Modifier Low / Median / High Price $76.87 / $101.07 / $155.97	Professional		$76.87	$101.07	$155.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $60.00 / $95.49	Professional		$45.00	$60.00	$95.49