Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.50 / $91.78 / $269.64	Facility	26	$62.50	$91.78	$269.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $370.50 / $525.00	Professional		$250.00	$370.50	$525.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $161.31 / $161.31 / $161.31	Professional		$161.31	$161.31	$161.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.60 / $87.60 / $235.62	Facility	26	$87.60	$87.60	$235.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.72 / $434.88 / $886.83	Professional		$196.72	$434.88	$886.83
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $86.16 / $86.16 / $86.16	Facility	26	$86.16	$86.16	$86.16
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $246.90 / $410.03 / $591.66	Professional		$246.90	$410.03	$591.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $203.78 / $358.05	Professional		$95.09	$203.78	$358.05
United Facility/Professional Professional Modifier Low / Median / High Price $242.12 / $364.38 / $753.84	Professional		$242.12	$364.38	$753.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.21 / $208.21 / $208.21	Professional		$208.21	$208.21	$208.21