Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.38 / $419.00 / $606.64	Facility		$47.38	$419.00	$606.64
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $248.00 / $350.00 / $555.04	Facility	25	$248.00	$350.00	$555.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $45.02 / $67.86	Professional		$29.98	$45.02	$67.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.52 / $86.92 / $164.28	Professional		$41.52	$86.92	$164.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.16 / $403.00 / $458.00	Facility		$48.16	$403.00	$458.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.46 / $53.94 / $107.02	Professional		$34.46	$53.94	$107.02
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $1,377.00 / $1,642.00	Facility		$905.00	$1,377.00	$1,642.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $32.67 / $77.67	Professional		$18.80	$32.67	$77.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $40.24 / $68.83	Professional		$26.96	$40.24	$68.83
United Facility/Professional Professional Modifier Low / Median / High Price $31.69 / $43.59 / $88.46	Professional		$31.69	$43.59	$88.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $31.92 / $34.51	Professional		$31.92	$31.92	$34.51