Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.44 / $28.89 / $142.59	Facility		$21.44	$28.89	$142.59
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $109.47 / $109.47 / $109.47	Facility	25	$109.47	$109.47	$109.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $32.15 / $52.23	Professional		$22.80	$32.15	$52.23
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $39.76 / $144.00 / $164.30	Professional	25	$39.76	$144.00	$164.30
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.90 / $14.45 / $20.60	Professional	52	$10.90	$14.45	$20.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.28 / $38.54 / $50.83	Professional		$35.28	$38.54	$50.83
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $36.54 / $39.29 / $39.29	Professional	25	$36.54	$39.29	$39.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.77 / $35.77 / $109.78	Facility		$35.77	$35.77	$109.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $34.82 / $34.82	Professional		$34.82	$34.82	$34.82
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $27.71 / $27.71 / $27.71	Facility		$27.71	$27.71	$27.71
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $31.84 / $44.15	Professional		$15.55	$31.84	$44.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $35.98 / $57.96	Professional		$25.84	$35.98	$57.96
United Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $37.68 / $65.34	Professional		$27.37	$37.68	$65.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $29.87 / $29.87	Professional		$20.68	$29.87	$29.87