Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.68 / $119.74 / $343.35	Facility		$48.68	$119.74	$343.35
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $51.74 / $375.97 / $562.35	Facility	25	$51.74	$375.97	$562.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.28 / $102.77 / $236.94	Professional		$66.28	$102.77	$236.94
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $71.25 / $135.33 / $328.22	Professional	25	$71.25	$135.33	$328.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $94.50 / $306.45 / $306.45	Professional	50	$94.50	$306.45	$306.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.46 / $128.21 / $180.32	Professional		$94.46	$128.21	$180.32
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $103.57 / $128.80 / $180.36	Professional	25	$103.57	$128.80	$180.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $135.00 / $211.00	Facility		$100.00	$135.00	$211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $119.02 / $198.35	Professional		$77.31	$119.02	$198.35
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 $44.68 / $93.52 / $167.54	Professional		$44.68	$93.52	$167.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.76 / $139.25 / $208.53	Professional		$65.76	$139.25	$208.53
United Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $101.54 / $171.85	Professional		$71.52	$101.54	$171.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.77 / $53.43 / $106.84	Professional		$50.77	$53.43	$106.84