Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.30 / $68.42 / $201.62	Facility	26	$51.30	$68.42	$201.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $267.55 / $391.32	Professional		$171.00	$267.55	$391.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.58 / $55.00 / $88.65	Professional	26	$49.58	$55.00	$88.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $156.07 / $185.18	Professional		$147.56	$156.07	$185.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.93 / $81.05 / $118.60	Professional	26	$43.93	$81.05	$118.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.64 / $65.64 / $177.59	Facility	26	$65.64	$65.64	$177.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.41 / $352.81 / $651.04	Professional		$176.41	$352.81	$651.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.82 / $65.37 / $123.94	Professional	26	$40.82	$65.37	$123.94
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $64.68 / $64.68 / $64.68	Facility	26	$64.68	$64.68	$64.68
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $201.41 / $311.75 / $405.64	Professional		$201.41	$311.75	$405.64
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $45.28 / $67.11 / $84.89	Professional	26	$45.28	$67.11	$84.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.30 / $192.13 / $332.45	Professional		$41.30	$192.13	$332.45
United Facility/Professional Professional Modifier Low / Median / High Price $216.34 / $282.22 / $546.58	Professional		$216.34	$282.22	$546.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.97 / $52.84 / $114.23	Professional	26	$44.97	$52.84	$114.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.41 / $165.41 / $165.41	Professional		$165.41	$165.41	$165.41
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $36.71 / $36.71 / $36.71	Professional	26	$36.71	$36.71	$36.71