Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.68 / $180.04 / $479.18	Facility		$48.68	$180.04	$479.18
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $42.58 / $388.07 / $822.16	Facility	25	$42.58	$388.07	$822.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.71 / $186.32 / $359.85	Professional		$135.71	$186.32	$359.85
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $170.45 / $303.32 / $602.41	Professional	25	$170.45	$303.32	$602.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.69 / $230.31 / $352.08	Professional		$177.69	$230.31	$352.08
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $185.85 / $224.64 / $336.05	Professional	25	$185.85	$224.64	$336.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $156.00 / $265.13	Facility		$108.00	$156.00	$265.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $229.41 / $378.53	Professional		$155.47	$229.41	$378.53
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $265.00 / $416.00	Facility		$30.00	$265.00	$416.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $87.20 / $164.14 / $234.72	Professional		$87.20	$164.14	$234.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $176.48 / $249.22 / $387.12	Professional		$176.48	$249.22	$387.12
United Facility/Professional Professional Modifier Low / Median / High Price $147.78 / $202.61 / $341.65	Professional		$147.78	$202.61	$341.65
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $80.00 / $88.00	Professional	25	$80.00	$80.00	$88.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $170.30 / $170.30	Professional		$138.63	$170.30	$170.30