Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $1,659.59 / $2,818.38	Facility		$64.57	$1,659.59	$2,818.38
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $354.81 / $1,513.56 / $3,235.94	Facility	25	$354.81	$1,513.56	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $165.96	Professional		$51.29	$69.18	$165.96
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $61.66 / $128.82 / $295.12	Professional	25	$61.66	$128.82	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $234.42	Professional		$60.26	$89.13	$234.42
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $60.26 / $75.86 / $234.42	Professional	25	$60.26	$75.86	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $616.60 / $1,584.89	Facility		$109.65	$616.60	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $186.21	Professional		$58.88	$85.11	$186.21
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 $29.51 / $66.07 / $114.82	Professional		$29.51	$66.07	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $63.10 / $128.82	Professional		$32.36	$63.10	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $66.07 / $134.90	Professional		$48.98	$66.07	$134.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $72.44	Professional		$53.70	$53.70	$72.44