Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.48 / $25.21 / $32.63	Facility		$24.48	$25.21	$32.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $31.16 / $47.80	Professional		$25.07	$31.16	$47.80
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $180.00 / $270.00 / $360.00	Professional	25	$180.00	$270.00	$360.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $32.61 / $41.93	Professional		$28.00	$32.61	$41.93
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $31.89 / $50.91 / $50.91	Professional	25	$31.89	$50.91	$50.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.14 / $41.14 / $41.14	Facility		$41.14	$41.14	$41.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $28.57	Professional		$28.57	$28.57	$28.57
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $29.45 / $38.14	Professional		$14.53	$29.45	$38.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $38.06 / $64.69	Professional		$26.96	$38.06	$64.69
United Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $35.11 / $57.24	Professional		$25.99	$35.11	$57.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $26.50 / $26.50	Professional		$25.40	$26.50	$26.50