Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $30.00 / $1,678.00	Facility		$13.12	$30.00	$1,678.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $19.25 / $76.00	Professional		$13.47	$19.25	$76.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $20.07 / $23.02 / $57.00	Professional	25	$20.07	$23.02	$57.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $15.09 / $23.84	Professional		$12.78	$15.09	$23.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $25.46 / $25.46	Facility		$25.46	$25.46	$25.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $22.66 / $46.43	Professional		$13.60	$22.66	$46.43
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $14.84 / $24.85 / $25.84	Facility		$14.84	$24.85	$25.84
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $10.79 / $27.37	Professional		$9.61	$10.79	$27.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $17.56 / $26.36	Professional		$12.07	$17.56	$26.36
United Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $19.60 / $34.50	Professional		$12.86	$19.60	$34.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $10.98 / $11.87	Professional		$10.98	$10.98	$11.87