Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $33.11 / $64.57	Facility		$31.62	$33.11	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $109.65	Professional		$32.36	$57.54	$109.65
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $44.67 / $93.33 / $147.91	Professional	25	$44.67	$93.33	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $77.62	Professional		$38.02	$48.98	$77.62
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $41.69 / $50.12 / $89.13	Professional	25	$41.69	$50.12	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $91.20 / $91.20 / $91.20	Facility	22	$91.20	$91.20	$91.20
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $7.59 / $7.59 / $7.59	Facility	AS	$7.59	$7.59	$7.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $51.29 / $95.50	Professional		$37.15	$51.29	$95.50
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $33.88 / $46.77	Professional		$31.62	$33.88	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $61.66	Professional		$32.36	$33.11	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $77.62	Professional		$29.51	$41.69	$77.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $45.71	Professional		$34.67	$34.67	$45.71