Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $61.25 / $127.99	Facility		$11.51	$61.25	$127.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $12.85 / $21.40	Professional		$9.91	$12.85	$21.40
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $13.59 / $24.30 / $49.00	Professional	25	$13.59	$24.30	$49.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $15.12 / $23.74	Professional		$11.80	$15.12	$23.74
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $12.82 / $14.40 / $22.75	Professional	25	$12.82	$14.40	$22.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $15.71 / $41.88	Facility		$15.71	$15.71	$41.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $16.20 / $27.37	Professional		$10.92	$16.20	$27.37
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $12.02 / $16.26	Professional		$5.89	$12.02	$16.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $12.51 / $21.47	Professional		$8.94	$12.51	$21.47
United Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $14.39 / $24.80	Professional		$10.43	$14.39	$24.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $10.98 / $10.98	Professional		$8.94	$10.98	$10.98