Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.08 / $130.08 / $173.44	Facility		$130.08	$130.08	$173.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.57 / $162.53 / $252.85	Professional		$129.57	$162.53	$252.85
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $148.35 / $182.00 / $195.00	Professional	25	$148.35	$182.00	$195.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.18 / $164.28 / $179.75	Professional		$156.18	$164.28	$179.75
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $156.18 / $158.59 / $168.93	Professional	25	$156.18	$158.59	$168.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $187.13 / $187.13	Facility		$140.00	$187.13	$187.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $147.60 / $147.60	Professional		$147.60	$147.60	$147.60
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $306.06 / $306.06 / $306.06	Facility		$306.06	$306.06	$306.06
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $69.14 / $143.34 / $189.37	Professional		$69.14	$143.34	$189.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.53 / $177.76 / $282.61	Professional		$126.53	$177.76	$282.61
United Facility/Professional Professional Modifier Low / Median / High Price $127.23 / $170.38 / $282.61	Professional		$127.23	$170.38	$282.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.93 / $136.93 / $136.93	Professional		$136.93	$136.93	$136.93