Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.95 / $1,981.00 / $2,832.00	Facility		$65.95	$1,981.00	$2,832.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $262.64 / $1,142.75 / $3,228.00	Facility	25	$262.64	$1,142.75	$3,228.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $59.50 / $89.96	Professional		$48.44	$59.50	$89.96
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $70.62 / $180.25 / $497.86	Professional	25	$70.62	$180.25	$497.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $171.72 / $265.02	Professional		$69.98	$171.72	$265.02
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $69.98 / $172.07 / $275.97	Professional	25	$69.98	$172.07	$275.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.02 / $1,154.00 / $1,311.00	Facility		$82.02	$1,154.00	$1,311.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.76 / $85.21 / $168.88	Professional		$58.76	$85.21	$168.88
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 $28.43 / $66.09 / $116.30	Professional		$28.43	$66.09	$116.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.85 / $77.43 / $135.33	Professional		$51.85	$77.43	$135.33
United Facility/Professional Professional Modifier Low / Median / High Price $49.13 / $67.42 / $135.40	Professional		$49.13	$67.42	$135.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $53.87 / $58.25	Professional		$53.87	$53.87	$58.25