Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.17 / $123.75 / $440.54	Facility		$41.17	$123.75	$440.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.61 / $52.61 / $110.19	Professional		$31.61	$52.61	$110.19
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $217.68 / $217.68 / $217.68	Professional	25	$217.68	$217.68	$217.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.72 / $53.20 / $70.59	Professional		$51.72	$53.20	$70.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $61.58 / $61.58	Facility		$61.58	$61.58	$61.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $48.80 / $48.80	Professional		$48.80	$48.80	$48.80
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $100.38 / $100.38 / $100.38	Facility		$100.38	$100.38	$100.38
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $24.10 / $63.04	Professional		$10.44	$24.10	$63.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.64 / $71.05 / $112.19	Professional		$50.64	$71.05	$112.19
United Facility/Professional Professional Modifier Low / Median / High Price $23.89 / $49.85 / $93.22	Professional		$23.89	$49.85	$93.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $45.28 / $45.28	Professional		$45.28	$45.28	$45.28