Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.79 / $825.52 / $1,961.80	Facility		$89.79	$825.52	$1,961.80
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $1,563.32 / $2,498.85 / $3,319.76	Facility	25	$1,563.32	$2,498.85	$3,319.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.76 / $106.40 / $227.88	Professional		$89.76	$106.40	$227.88
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $105.70 / $365.40 / $1,630.00	Professional	25	$105.70	$365.40	$1,630.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.77 / $142.10 / $380.53	Professional		$101.77	$142.10	$380.53
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $104.64 / $171.52 / $410.66	Professional	25	$104.64	$171.52	$410.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.15 / $1,838.00 / $5,496.00	Facility		$143.15	$1,838.00	$5,496.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $144.36 / $256.39	Professional		$96.53	$144.36	$256.39
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $51.67 / $108.00 / $140.43	Professional		$51.67	$108.00	$140.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.57 / $106.67 / $193.88	Professional		$77.57	$106.67	$193.88
United Facility/Professional Professional Modifier Low / Median / High Price $91.45 / $124.41 / $219.26	Professional		$91.45	$124.41	$219.26
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $85.00 / $255.60	Professional	25	$80.00	$85.00	$255.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.19 / $91.15 / $91.15	Professional		$81.19	$91.15	$91.15