Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.29 / $42.65 / $45.62	Facility	26	$40.29	$42.65	$45.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.04 / $80.84 / $143.96	Professional		$74.04	$80.84	$143.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.29 / $45.04 / $79.34	Professional	26	$40.29	$45.04	$79.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.37 / $118.37 / $118.37	Professional		$118.37	$118.37	$118.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $119.54 / $186.13	Professional		$74.45	$119.54	$186.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.35 / $66.73 / $106.01	Professional	26	$42.35	$66.73	$106.01
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $60.87 / $65.22 / $114.71	Professional		$60.87	$65.22	$114.71
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $33.93 / $36.35 / $63.95	Professional	26	$33.93	$36.35	$63.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $48.42 / $128.42	Professional		$28.42	$48.42	$128.42
United Facility/Professional Professional Modifier Low / Median / High Price $69.31 / $102.79 / $176.64	Professional		$69.31	$102.79	$176.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.89 / $58.69 / $100.82	Professional	26	$40.89	$58.69	$100.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.66 / $67.66 / $67.66	Professional		$67.66	$67.66	$67.66
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $35.49 / $35.49 / $51.91	Professional	26	$35.49	$35.49	$51.91