Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $501.19 / $1,698.24	Facility		$12.88	$501.19	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $25.70 / $77.62	Professional		$12.88	$25.70	$77.62
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $10.00 / $46.77 / $141.25	Professional	25	$10.00	$46.77	$141.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.45 / $20.89	Professional		$11.48	$14.45	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $22.39 / $47.86	Professional		$13.80	$22.39	$47.86
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $25.70 / $25.70	Facility		$16.98	$25.70	$25.70
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.75 / $24.55	Professional		$8.51	$11.75	$24.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $29.51 / $33.11	Professional		$13.18	$29.51	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.05 / $34.67	Professional		$12.88	$19.05	$34.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $15.14	Professional		$10.96	$10.96	$15.14