Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.96 / $59.00 / $209.63	Facility	26	$50.96	$59.00	$209.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $230.00 / $383.91	Professional		$171.00	$230.00	$383.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $56.47 / $85.21	Professional	26	$51.30	$56.47	$85.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $131.44 / $211.36	Professional		$105.68	$131.44	$211.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.56 / $78.18 / $127.03	Professional	26	$45.56	$78.18	$127.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.05 / $69.05 / $184.61	Facility	26	$69.05	$69.05	$184.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.69 / $297.26 / $594.78	Professional		$148.69	$297.26	$594.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.79 / $70.50 / $125.63	Professional	26	$42.79	$70.50	$125.63
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 $187.78 / $309.62 / $437.44	Professional		$187.78	$309.62	$437.44
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 / $278.17	Professional		$41.40	$158.75	$278.17
United Facility/Professional Professional Modifier Low / Median / High Price $180.15 / $270.27 / $506.60	Professional		$180.15	$270.27	$506.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.89 / $54.74 / $117.11	Professional	26	$46.89	$54.74	$117.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $153.88 / $153.88 / $153.88	Professional		$153.88	$153.88	$153.88
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $45.01 / $45.01 / $45.01	Professional	26	$45.01	$45.01	$45.01