Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.81 / $2,657.74 / $4,364.82	Facility		$178.81	$2,657.74	$4,364.82
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $1,754.40 / $3,246.00 / $6,460.59	Facility	25	$1,754.40	$3,246.00	$6,460.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.24 / $231.37 / $460.80	Professional		$179.24	$231.37	$460.80
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $189.83 / $357.30 / $1,373.92	Professional	25	$189.83	$357.30	$1,373.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.10 / $343.57 / $815.33	Professional		$204.10	$343.57	$815.33
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $209.61 / $314.42 / $827.95	Professional	25	$209.61	$314.42	$827.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.33 / $1,838.00 / $5,496.00	Facility		$286.33	$1,838.00	$5,496.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.84 / $304.39 / $552.41	Professional		$201.84	$304.39	$552.41
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,116.00 / $2,888.00 / $3,952.00	Facility		$2,116.00	$2,888.00	$3,952.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $113.63 / $223.68 / $320.49	Professional		$113.63	$223.68	$320.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $197.46 / $278.24 / $500.27	Professional		$197.46	$278.24	$500.27
United Facility/Professional Professional Modifier Low / Median / High Price $205.14 / $276.23 / $504.38	Professional		$205.14	$276.23	$504.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.38 / $209.62 / $209.62	Professional		$162.38	$209.62	$209.62