Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $138.04 / $371.54	Facility		$51.29	$138.04	$371.54
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $125.89 / $251.19 / $549.54	Facility	25	$125.89	$251.19	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $389.05	Professional		$107.15	$169.82	$389.05
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $123.03 / $199.53 / $478.63	Professional	25	$123.03	$199.53	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $251.19	Professional		$123.03	$169.82	$251.19
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $131.83 / $169.82 / $245.47	Professional	25	$131.83	$169.82	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $181.97 / $257.04	Facility		$107.15	$181.97	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $309.03	Professional		$123.03	$173.78	$309.03
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $263.03 / $416.87	Facility		$30.20	$263.03	$416.87
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $147.91 / $213.80	Professional		$81.28	$147.91	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $141.25 / $269.15	Professional		$32.36	$141.25	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $125.89 / $154.88	Facility		$81.28	$125.89	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $245.47	Professional		$100.00	$144.54	$245.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $177.83	Professional		$102.33	$128.82	$177.83