Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.70 / $59.00 / $209.63	Facility	26	$50.70	$59.00	$209.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $240.42 / $383.66	Professional		$171.00	$240.42	$383.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $57.89 / $85.67	Professional	26	$51.30	$57.89	$85.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.96 / $148.52 / $417.71	Professional		$129.96	$148.52	$417.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.31 / $94.43 / $127.03	Professional	26	$46.31	$94.43	$127.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $68.70 / $183.61	Facility	26	$68.70	$68.70	$183.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.27 / $296.39 / $595.19	Professional		$147.27	$296.39	$595.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.57 / $70.50 / $124.91	Professional	26	$42.57	$70.50	$124.91
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $67.20 / $67.20 / $67.20	Facility	26	$67.20	$67.20	$67.20
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $185.65 / $308.39 / $436.99	Professional		$185.65	$308.39	$436.99
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $47.05 / $69.73 / $88.21	Professional	26	$47.05	$69.73	$88.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $158.75 / $276.56	Professional		$41.40	$158.75	$276.56
United Facility/Professional Professional Modifier Low / Median / High Price $179.87 / $263.43 / $517.08	Professional		$179.87	$263.43	$517.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.39 / $54.68 / $113.75	Professional	26	$46.39	$54.68	$113.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $152.88 / $152.88 / $152.88	Professional		$152.88	$152.88	$152.88
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $44.76 / $44.76 / $44.76	Professional	26	$44.76	$44.76	$44.76