Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.50 / $71.88 / $294.93	Facility	26	$62.50	$71.88	$294.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $359.74 / $532.17	Professional		$250.00	$359.74	$532.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $96.35 / $143.00	Professional	26	$62.50	$96.35	$143.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.73 / $164.73 / $164.73	Professional		$164.73	$164.73	$164.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.91 / $173.23 / $173.49	Professional	26	$64.91	$173.23	$173.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.46 / $96.46 / $259.14	Facility	26	$96.46	$96.46	$259.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.41 / $415.75 / $884.75	Professional		$194.41	$415.75	$884.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.16 / $100.11 / $191.21	Professional	26	$60.16	$100.11	$191.21
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $94.73 / $94.73 / $94.73	Facility	26	$94.73	$94.73	$94.73
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $235.20 / $390.60 / $617.44	Professional		$235.20	$390.60	$617.44
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $66.31 / $100.65 / $127.88	Professional	26	$66.31	$100.65	$127.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $203.78 / $357.88	Professional		$95.09	$203.78	$357.88
United Facility/Professional Professional Modifier Low / Median / High Price $242.33 / $350.14 / $737.73	Professional		$242.33	$350.14	$737.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.86 / $78.30 / $162.47	Professional	26	$66.86	$78.30	$162.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $193.59 / $193.59 / $193.59	Professional		$193.59	$193.59	$193.59
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $57.48 / $57.48 / $57.48	Professional	26	$57.48	$57.48	$57.48