Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $44.41 / $68.00	Facility		$20.42	$44.41	$68.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $31.85 / $49.87	Professional		$16.46	$31.85	$49.87
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.00 / $128.00 / $128.00	Professional	25	$128.00	$128.00	$128.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.53 / $43.78 / $60.18	Professional		$35.53	$43.78	$60.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.21 / $24.21 / $24.21	Facility		$24.21	$24.21	$24.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $39.88 / $39.88	Professional		$39.88	$39.88	$39.88
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $36.19 / $48.97	Professional		$18.10	$36.19	$48.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $35.30 / $58.06	Professional		$24.55	$35.30	$58.06
United Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $42.68 / $74.06	Professional		$31.32	$42.68	$74.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $18.14	Professional		$18.14	$18.14	$18.14