Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $42.66 / $131.83	Facility	26	$25.12	$42.66	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $223.87	Professional		$79.43	$109.65	$223.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $38.90 / $89.13	Professional	26	$23.44	$38.90	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $251.19	Professional		$91.20	$91.20	$251.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $39.81 / $61.66	Professional	26	$28.18	$39.81	$61.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $43.65 / $70.79	Facility	26	$9.33	$43.65	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $223.87	Professional		$74.13	$104.71	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $29.51 / $70.79	Professional	26	$18.62	$29.51	$70.79
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $25.12 / $25.12	Facility	26	$25.12	$25.12	$25.12
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $154.88	Professional		$69.18	$91.20	$154.88
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $26.92 / $43.65	Professional	26	$19.05	$26.92	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $44.67 / $117.49	Professional		$24.55	$44.67	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $97.72 / $186.21	Professional		$74.13	$97.72	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $33.11 / $57.54	Professional	26	$18.20	$33.11	$57.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $114.82	Professional		$67.61	$67.61	$114.82
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $21.38 / $37.15	Professional	26	$21.38	$21.38	$37.15