Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.76 / $216.51 / $557.26	Facility		$90.76	$216.51	$557.26
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $238.61 / $433.50 / $672.22	Facility	25	$238.61	$433.50	$672.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.67 / $138.72 / $302.85	Professional		$94.67	$138.72	$302.85
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $117.95 / $243.00 / $453.00	Professional	25	$117.95	$243.00	$453.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.15 / $180.72 / $276.49	Professional		$138.15	$180.72	$276.49
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $147.41 / $180.72 / $285.39	Professional	25	$147.41	$180.72	$285.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $156.00 / $230.00	Facility		$100.00	$156.00	$230.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.86 / $167.24 / $278.61	Professional		$112.86	$167.24	$278.61
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 $60.43 / $126.03 / $200.00	Professional		$60.43	$126.03	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.89 / $175.84 / $268.16	Professional		$109.89	$175.84	$268.16
United Facility/Professional Professional Modifier Low / Median / High Price $102.81 / $141.91 / $243.22	Professional		$102.81	$141.91	$243.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $94.00 / $150.77	Professional		$89.29	$94.00	$150.77