Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $22.91 / $177.83	Facility		$7.59	$22.91	$177.83
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $74.13 / $158.49 / $257.04	Facility	25	$74.13	$158.49	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $19.95 / $46.77	Professional		$7.59	$19.95	$46.77
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $19.05 / $33.88 / $75.86	Professional	25	$19.05	$33.88	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $21.88 / $33.88	Professional		$8.91	$21.88	$33.88
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $18.62 / $21.88 / $33.88	Professional	25	$18.62	$21.88	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $128.82 / $190.55	Facility		$27.54	$128.82	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $20.89 / $36.31	Professional		$9.12	$20.89	$36.31
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $169.82 / $416.87	Facility		$151.36	$169.82	$416.87
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $21.38 / $151.36	Professional		$10.23	$21.38	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $26.30 / $37.15	Professional		$7.24	$26.30	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $16.98 / $48.98	Facility		$9.12	$16.98	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $16.22 / $31.62	Professional		$7.59	$16.22	$31.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $17.78 / $23.44	Professional		$6.61	$17.78	$23.44