Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.82 / $2,211.00 / $2,772.00	Facility		$94.82	$2,211.00	$2,772.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $823.35 / $1,933.48 / $3,246.00	Facility	25	$823.35	$1,933.48	$3,246.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.72 / $108.81 / $171.36	Professional		$87.72	$108.81	$171.36
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $110.79 / $184.52 / $820.80	Professional	25	$110.79	$184.52	$820.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.63 / $359.16 / $468.57	Professional		$123.63	$359.16	$468.57
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $119.72 / $330.75 / $468.57	Professional	25	$119.72	$330.75	$468.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.63 / $2,713.00 / $3,083.00	Facility		$139.63	$2,713.00	$3,083.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $154.57 / $305.86	Professional		$99.43	$154.57	$305.86
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,116.00 / $3,303.00 / $3,952.00	Facility		$2,116.00	$3,303.00	$3,952.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $54.37 / $103.93 / $223.74	Professional		$54.37	$103.93	$223.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $143.28 / $260.38	Professional		$101.95	$143.28	$260.38
United Facility/Professional Professional Modifier Low / Median / High Price $90.71 / $123.81 / $245.60	Professional		$90.71	$123.81	$245.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.92 / $91.92 / $99.39	Professional		$91.92	$91.92	$99.39