Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.04 / $67.89 / $124.17	Facility		$63.04	$67.89	$124.17
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $27.36 / $27.36 / $27.36	Facility	25	$27.36	$27.36	$27.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.64 / $71.20 / $118.51	Professional		$54.64	$71.20	$118.51
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $12.52 / $77.54 / $206.46	Professional	25	$12.52	$77.54	$206.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.72 / $79.41 / $151.63	Professional		$70.72	$79.41	$151.63
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $72.72 / $82.01 / $138.58	Professional	25	$72.72	$82.01	$138.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.27 / $100.27 / $243.65	Facility		$100.27	$100.27	$243.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $98.07 / $163.09	Professional		$64.31	$98.07	$163.09
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $35.77 / $57.41 / $94.83	Professional		$35.77	$57.41	$94.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $106.79 / $171.46	Professional		$76.98	$106.79	$171.46
United Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $86.95 / $142.19	Professional		$64.67	$86.95	$142.19
United Facility/Professional Professional Modifier 25 Low / Median / High Price $98.97 / $99.10 / $99.10	Professional	25	$98.97	$99.10	$99.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $67.91 / $67.91	Professional		$61.84	$67.91	$67.91