Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.50 / $493.00 / $2,712.86	Facility		$77.50	$493.00	$2,712.86
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $37.71 / $452.57 / $1,314.10	Facility	25	$37.71	$452.57	$1,314.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.03 / $109.00 / $200.34	Professional		$61.03	$109.00	$200.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.86 / $101.45 / $356.79	Professional		$80.86	$101.45	$356.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.44 / $94.44 / $94.44	Facility		$94.44	$94.44	$94.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.08 / $118.42 / $202.33	Professional		$76.08	$118.42	$202.33
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $56.60 / $62.82 / $95.90	Professional		$56.60	$62.82	$95.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.57 / $106.67 / $200.93	Professional		$77.57	$106.67	$200.93
United Facility/Professional Professional Modifier Low / Median / High Price $72.28 / $101.72 / $183.37	Professional		$72.28	$101.72	$183.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.81 / $62.81 / $62.81	Professional		$62.81	$62.81	$62.81