Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.05 / $60.84 / $107.46	Facility		$59.05	$60.84	$107.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.40 / $63.85 / $92.55	Professional		$55.40	$63.85	$92.55
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $115.15 / $183.48 / $245.55	Professional	25	$115.15	$183.48	$245.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.75 / $75.77 / $103.32	Professional		$70.75	$75.77	$103.32
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $86.10 / $86.10 / $86.10	Professional	25	$86.10	$86.10	$86.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.80 / $94.80 / $215.37	Facility		$94.80	$94.80	$215.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.69 / $88.17 / $145.43	Professional		$57.69	$88.17	$145.43
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $49.94 / $82.61	Professional		$31.88	$49.94	$82.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $75.30 / $121.81	Professional		$56.00	$75.30	$121.81
United Facility/Professional Professional Modifier Low / Median / High Price $55.36 / $76.23 / $126.35	Professional		$55.36	$76.23	$126.35
United Facility/Professional Professional Modifier 25 Low / Median / High Price $94.07 / $94.07 / $94.07	Professional	25	$94.07	$94.07	$94.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.52 / $58.80 / $58.80	Professional		$58.52	$58.80	$58.80