Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $33.11 / $102.33	Facility		$25.12	$33.11	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $43.65 / $69.18	Professional		$28.18	$43.65	$69.18
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $144.54 / $144.54 / $144.54	Professional	25	$144.54	$144.54	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $70.79	Professional		$46.77	$58.88	$70.79
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $48.98 / $58.88 / $64.57	Professional	25	$48.98	$58.88	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.29 / $87.10	Professional		$36.31	$51.29	$87.10
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $47.86 / $61.66	Professional		$44.67	$47.86	$61.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.11 / $63.10	Professional		$30.90	$33.11	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $123.03 / $123.03	Facility		$117.49	$123.03	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $67.61	Professional		$26.92	$38.90	$67.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $38.02	Professional		$28.18	$28.18	$38.02