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 / $269.64	Facility	26	$62.50	$71.88	$269.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $357.69 / $550.00	Professional		$250.00	$357.69	$550.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.59 / $158.59 / $315.94	Professional		$158.59	$158.59	$315.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.60 / $87.60 / $235.62	Facility	26	$87.60	$87.60	$235.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.77 / $421.80 / $856.18	Professional		$196.77	$421.80	$856.18
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 $289.08 / $462.55 / $631.11	Professional		$289.08	$462.55	$631.11
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 $238.30 / $374.40 / $797.93	Professional		$238.30	$374.40	$797.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $196.83 / $196.83 / $196.83	Professional		$196.83	$196.83	$196.83