Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.64 / $30.06 / $81.54	Facility		$20.64	$30.06	$81.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $24.86 / $38.43	Professional		$20.57	$24.86	$38.43
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $26.97 / $45.40 / $97.21	Professional	25	$26.97	$45.40	$97.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.15 / $28.71 / $43.33	Professional		$24.15	$28.71	$43.33
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $24.15 / $26.58 / $43.57	Professional	25	$24.15	$26.58	$43.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $33.15 / $80.83	Facility		$33.15	$33.15	$80.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $32.13 / $53.21	Professional		$22.06	$32.13	$53.21
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $22.97 / $31.04	Professional		$11.30	$22.97	$31.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $35.58 / $49.68	Professional		$21.72	$35.58	$49.68
United Facility/Professional Professional Modifier Low / Median / High Price $20.25 / $27.70 / $47.84	Professional		$20.25	$27.70	$47.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $20.94 / $20.94	Professional		$18.89	$20.94	$20.94