Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $158.49 / $630.96	Facility		$33.11	$158.49	$630.96
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $245.47 / $346.74 / $549.54	Facility	25	$245.47	$346.74	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $52.48 / $112.20	Professional		$31.62	$52.48	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $50.12 / $134.90	Professional		$37.15	$50.12	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $275.42 / $851.14	Facility		$64.57	$275.42	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $53.70 / $114.82	Professional		$35.48	$53.70	$114.82
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,380.38 / $1,659.59	Facility		$912.01	$1,380.38	$1,659.59
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $33.11 / $67.61	Professional		$19.50	$33.11	$67.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $36.31 / $72.44	Professional		$32.36	$36.31	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.66 / $85.11	Professional		$30.90	$42.66	$85.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $41.69	Professional		$31.62	$31.62	$41.69