Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.38 / $40.54 / $64.89	Facility		$31.38	$40.54	$64.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $51.98 / $104.15	Professional		$31.65	$51.98	$104.15
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $37.33 / $91.58 / $131.60	Professional	25	$37.33	$91.58	$131.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.27 / $54.86 / $81.27	Professional		$41.27	$54.86	$81.27
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $47.62 / $52.47 / $100.17	Professional	25	$47.62	$52.47	$100.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.54 / $56.54 / $56.54	Facility		$56.54	$56.54	$56.54
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $5.48 / $5.48 / $5.48	Facility	AS	$5.48	$5.48	$5.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $51.03 / $86.00	Professional		$36.79	$51.03	$86.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $36.01 / $50.91	Professional		$33.39	$36.01	$50.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $41.24 / $70.67	Professional		$27.49	$41.24	$70.67
United Facility/Professional Professional Modifier Low / Median / High Price $29.67 / $42.23 / $78.84	Professional		$29.67	$42.23	$78.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $34.31 / $34.31	Professional		$34.31	$34.31	$34.31