Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.53 / $129.36 / $290.32	Facility		$44.53	$129.36	$290.32
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $61.15 / $256.68 / $353.65	Facility	25	$61.15	$256.68	$353.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.82 / $71.20 / $157.15	Professional		$44.82	$71.20	$157.15
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $44.69 / $90.19 / $213.56	Professional	25	$44.69	$90.19	$213.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $254.64 / $262.68 / $271.76	Professional	50	$254.64	$262.68	$271.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.79 / $87.84 / $127.90	Professional		$61.79	$87.84	$127.90
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $65.41 / $91.36 / $143.97	Professional	25	$65.41	$91.36	$143.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.08 / $130.00 / $205.00	Facility		$88.08	$130.00	$205.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $55.05 / $55.05 / $55.05	Facility	62	$55.05	$55.05	$55.05
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $8.81 / $8.81 / $8.81	Facility	AS	$8.81	$8.81	$8.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $80.77 / $137.80	Professional		$51.62	$80.77	$137.80
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 $29.92 / $63.86 / $146.00	Professional		$29.92	$63.86	$146.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.07 / $70.36 / $121.42	Professional		$41.07	$70.36	$121.42
United Facility/Professional Professional Modifier Low / Median / High Price $51.87 / $71.51 / $125.11	Professional		$51.87	$71.51	$125.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $34.29 / $87.84	Professional		$32.58	$34.29	$87.84