Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.50 / $64.81 / $270.77	Facility	26	$62.50	$64.81	$270.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $375.00 / $558.19	Professional		$250.00	$375.00	$558.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.28 / $198.28 / $216.87	Professional		$198.28	$198.28	$216.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.95 / $87.95 / $235.62	Facility	26	$87.95	$87.95	$235.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.52 / $462.19 / $928.43	Professional		$249.52	$462.19	$928.43
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $86.16 / $86.16 / $86.16	Facility	26	$86.16	$86.16	$86.16
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $292.05 / $458.93 / $631.11	Professional		$292.05	$458.93	$631.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $261.67 / $461.90	Professional		$95.09	$261.67	$461.90
United Facility/Professional Professional Modifier Low / Median / High Price $303.85 / $411.46 / $800.16	Professional		$303.85	$411.46	$800.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $256.67 / $256.67 / $256.67	Professional		$256.67	$256.67	$256.67