Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $57.54 / $169.82	Professional		$36.31	$57.54	$169.82
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $117.49 / $117.49 / $117.49	Professional	25	$117.49	$117.49	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $32.36 / $46.77	Professional		$28.18	$32.36	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $74.13 / $87.10	Professional		$33.88	$74.13	$87.10
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $26.92 / $34.67	Professional		$25.70	$26.92	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $61.66 / $100.00	Professional		$35.48	$61.66	$100.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92