Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $93.33 / $309.03	Facility	26	$61.66	$93.33	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $416.87 / $851.14	Professional		$251.19	$416.87	$851.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $117.49 / $251.19	Professional	26	$63.10	$117.49	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $83.18 / $144.54	Professional	26	$63.10	$83.18	$144.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $95.50 / $165.96	Facility	26	$20.42	$95.50	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $398.11 / $870.96	Professional		$204.17	$398.11	$870.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $107.15 / $190.55	Professional	26	$60.26	$107.15	$190.55
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $95.50 / $95.50	Facility	26	$95.50	$95.50	$95.50
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $354.81 / $575.44	Professional		$194.98	$354.81	$575.44
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $89.13 / $128.82	Professional	26	$57.54	$89.13	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $131.83 / $346.74	Professional		$32.36	$131.83	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $707.95	Professional		$245.47	$363.08	$707.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $79.43 / $154.88	Professional	26	$67.61	$79.43	$154.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $263.03	Professional		$213.80	$213.80	$263.03
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $64.57 / $81.28	Professional	26	$64.57	$64.57	$81.28