Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $91.20 / $269.15	Facility		$61.66	$91.20	$269.15
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $141.25 / $239.88 / $371.54	Facility	25	$141.25	$239.88	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $109.65 / $263.03	Professional		$67.61	$109.65	$263.03
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $72.44 / $125.89 / $302.00	Professional	25	$72.44	$125.89	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $169.82	Professional		$81.28	$112.20	$169.82
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $89.13 / $112.20 / $169.82	Professional	25	$89.13	$112.20	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $144.54 / $204.17	Facility		$100.00	$144.54	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $199.53	Professional		$77.62	$112.20	$199.53
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $213.80 / $416.87	Facility		$30.20	$213.80	$416.87
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $102.33 / $169.82	Professional		$53.70	$102.33	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $93.33 / $173.78	Professional		$32.36	$93.33	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $77.62 / $100.00	Facility		$67.61	$77.62	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $158.49	Professional		$61.66	$93.33	$158.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $117.49	Professional		$63.10	$85.11	$117.49