Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.39 / $66.04 / $267.14	Facility		$40.39	$66.04	$267.14
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $116.55 / $290.32 / $311.92	Facility	25	$116.55	$290.32	$311.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $62.50 / $109.31	Professional		$39.79	$62.50	$109.31
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $43.41 / $86.32 / $191.58	Professional	25	$43.41	$86.32	$191.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.83 / $74.69 / $117.36	Professional		$53.83	$74.69	$117.36
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $50.00 / $68.67 / $95.35	Professional	25	$50.00	$68.67	$95.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.64 / $130.00 / $205.00	Facility		$62.64	$130.00	$205.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $73.00 / $130.32	Professional		$45.28	$73.00	$130.32
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $162.00 / $416.00	Facility		$30.00	$162.00	$416.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $63.32 / $145.00	Professional		$30.73	$63.32	$145.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $72.12 / $120.91	Professional		$52.45	$72.12	$120.91
United Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $72.14 / $125.46	Professional		$52.47	$72.14	$125.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $55.15 / $68.67	Professional		$35.75	$55.15	$68.67