Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.48 / $112.99 / $254.25	Facility		$63.48	$112.99	$254.25
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $142.66 / $254.25 / $439.84	Facility	25	$142.66	$254.25	$439.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $95.24 / $187.65	Professional		$63.90	$95.24	$187.65
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $67.37 / $124.32 / $312.00	Professional	25	$67.37	$124.32	$312.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $112.89 / $174.44	Professional		$80.33	$112.89	$174.44
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $92.05 / $112.89 / $173.00	Professional	25	$92.05	$112.89	$173.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $130.00 / $211.00	Facility		$100.00	$130.00	$211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.54 / $112.70 / $192.03	Professional		$74.54	$112.70	$192.03
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $214.00 / $416.00	Facility		$30.00	$214.00	$416.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $45.29 / $94.79 / $152.00	Professional		$45.29	$94.79	$152.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.82 / $141.97 / $209.93	Professional		$93.82	$141.97	$209.93
United Facility/Professional Professional Modifier Low / Median / High Price $75.83 / $102.91 / $179.19	Professional		$75.83	$102.91	$179.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.55 / $86.04 / $100.16	Professional		$62.55	$86.04	$100.16