Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $74.13 / $309.03	Facility	26	$51.29	$74.13	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $288.40 / $645.65	Professional		$169.82	$288.40	$645.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $93.33 / $269.15	Professional	26	$51.29	$93.33	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $575.44	Professional		$257.04	$257.04	$575.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $112.20 / $147.91	Professional	26	$66.07	$112.20	$147.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $97.72 / $165.96	Facility	26	$20.89	$97.72	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $776.25	Professional		$223.87	$354.81	$776.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $87.10 / $181.97	Professional	26	$60.26	$87.10	$181.97
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 $199.53 / $331.13 / $478.63	Professional		$199.53	$331.13	$478.63
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $81.28 / $125.89	Professional	26	$58.88	$81.28	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $134.90 / $371.54	Professional		$32.36	$134.90	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $338.84 / $630.96	Professional		$251.19	$338.84	$630.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $77.62 / $151.36	Professional	26	$66.07	$77.62	$151.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $257.04	Professional		$213.80	$213.80	$257.04
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $60.26 / $83.18	Professional	26	$60.26	$60.26	$83.18