Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.36 / $146.00 / $1,442.47	Facility		$109.36	$146.00	$1,442.47
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $188.19 / $640.90 / $1,586.41	Facility	25	$188.19	$640.90	$1,586.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.89 / $140.79 / $305.64	Professional		$98.89	$140.79	$305.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.77 / $150.81 / $259.58	Professional		$126.77	$150.81	$259.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.03 / $149.03 / $149.03	Facility		$149.03	$149.03	$149.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.11 / $165.83 / $279.48	Professional		$112.11	$165.83	$279.48
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $88.74 / $98.19 / $135.47	Professional		$88.74	$98.19	$135.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $143.28 / $267.69	Professional		$104.20	$143.28	$267.69
United Facility/Professional Professional Modifier Low / Median / High Price $99.03 / $139.91 / $257.39	Professional		$99.03	$139.91	$257.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.07 / $99.07 / $130.91	Professional		$99.07	$99.07	$130.91