Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $57.54 / $72.44	Facility		$53.70	$57.54	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $63.10 / $87.10	Professional		$52.48	$63.10	$87.10
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $14.45 / $70.79 / $75.86	Professional	25	$14.45	$70.79	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $66.07 / $83.18	Professional		$56.23	$66.07	$83.18
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $64.57 / $66.07 / $74.13	Professional	25	$64.57	$66.07	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $95.50 / $177.83	Professional		$53.70	$95.50	$177.83
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $74.13	Professional		$54.95	$57.54	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $58.88	Facility		$54.95	$56.23	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $131.83	Professional		$51.29	$74.13	$131.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23