Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.12 / $88.12 / $117.49	Facility		$88.12	$88.12	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.55 / $122.27 / $202.47	Professional		$77.55	$122.27	$202.47
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $103.04 / $140.08 / $322.64	Professional	25	$103.04	$140.08	$322.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.35 / $129.59 / $165.51	Professional		$112.35	$129.59	$165.51
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $119.96 / $129.59 / $192.45	Professional	25	$119.96	$129.59	$192.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $146.59 / $146.59	Facility		$140.00	$146.59	$146.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $116.36 / $116.36	Professional		$116.36	$116.36	$116.36
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $240.78 / $240.78 / $240.78	Facility		$240.78	$240.78	$240.78
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $45.97 / $97.48 / $141.96	Professional		$45.97	$97.48	$141.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.86 / $142.11 / $225.90	Professional		$100.86	$142.11	$225.90
United Facility/Professional Professional Modifier Low / Median / High Price $86.64 / $116.88 / $195.26	Professional		$86.64	$116.88	$195.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.94 / $107.94 / $107.94	Professional		$107.94	$107.94	$107.94