Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $741.31 / $2,818.38	Facility		$93.33	$741.31	$2,818.38
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $812.83 / $2,630.27 / $42,657.95	Facility	25	$812.83	$2,630.27	$42,657.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $323.59	Professional		$91.20	$123.03	$323.59
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $97.72 / $218.78 / $467.74	Professional	25	$97.72	$218.78	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $398.11	Professional		$104.71	$147.91	$398.11
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $107.15 / $154.88 / $416.87	Professional	25	$107.15	$154.88	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,318.26 / $3,388.44	Facility		$186.21	$1,318.26	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $331.13	Professional		$102.33	$154.88	$331.13
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,311.31 / $3,981.07	Facility		$2,137.96	$3,311.31	$3,981.07
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $104.71 / $199.53	Professional		$57.54	$104.71	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $104.71 / $213.80	Professional		$32.36	$104.71	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $234.42	Professional		$89.13	$120.23	$234.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $123.03	Professional		$91.20	$91.20	$123.03