Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.53 / $32.70 / $60.18	Facility		$25.53	$32.70	$60.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $32.72 / $49.90	Professional		$25.16	$32.72	$49.90
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $41.32 / $41.32 / $41.32	Professional	25	$41.32	$41.32	$41.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $38.04 / $40.90	Professional		$32.34	$38.04	$40.90
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $37.45 / $37.45 / $38.04	Professional	25	$37.45	$37.45	$38.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $39.92 / $39.92	Facility		$39.92	$39.92	$39.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $44.25 / $75.11	Professional		$28.51	$44.25	$75.11
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $17.88 / $36.63 / $47.10	Professional		$17.88	$36.63	$47.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $69.66 / $109.63	Professional		$29.70	$69.66	$109.63
United Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $42.22 / $68.44	Professional		$30.99	$42.22	$68.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $30.38 / $30.38	Professional		$22.72	$30.38	$30.38