Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.30 / $72.28 / $296.22	Facility	26	$51.30	$72.28	$296.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $290.18 / $474.06	Professional		$171.00	$290.18	$474.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $82.76 / $151.19	Professional	26	$51.30	$82.76	$151.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.92 / $174.92 / $174.92	Professional		$174.92	$174.92	$174.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.27 / $98.57 / $174.25	Professional	26	$62.27	$98.57	$174.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.97 / $96.97 / $260.18	Facility	26	$96.97	$96.97	$260.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.68 / $380.73 / $781.31	Professional		$219.68	$380.73	$781.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.20 / $91.71 / $173.56	Professional	26	$60.20	$91.71	$173.56
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $95.08 / $95.08 / $95.08	Facility	26	$95.08	$95.08	$95.08
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $239.04 / $367.09 / $478.07	Professional		$239.04	$367.09	$478.07
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $59.00 / $92.70 / $124.79	Professional	26	$59.00	$92.70	$124.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.85 / $182.70 / $341.44	Professional		$94.85	$182.70	$341.44
United Facility/Professional Professional Modifier Low / Median / High Price $250.17 / $337.74 / $633.59	Professional		$250.17	$337.74	$633.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.76 / $76.31 / $161.69	Professional	26	$65.76	$76.31	$161.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $195.07 / $195.07 / $195.07	Professional		$195.07	$195.07	$195.07
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $53.57 / $53.57 / $53.57	Professional	26	$53.57	$53.57	$53.57