Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.79 / $50.42 / $207.37	Facility	26	$39.79	$50.42	$207.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.75 / $192.33 / $289.64	Professional		$145.75	$192.33	$289.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.79 / $48.56 / $81.95	Professional	26	$39.79	$48.56	$81.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $449.84 / $449.84 / $449.84	Professional		$449.84	$449.84	$449.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.06 / $63.63 / $95.68	Professional	26	$45.06	$63.63	$95.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.29 / $68.29 / $144.05	Facility	26	$68.29	$68.29	$144.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.44 / $199.75 / $399.32	Professional		$148.44	$199.75	$399.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.58 / $56.91 / $110.82	Professional	26	$39.58	$56.91	$110.82
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $52.87 / $52.87 / $52.87	Facility	26	$52.87	$52.87	$52.87
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $139.65 / $209.46 / $290.97	Professional		$139.65	$209.46	$290.97
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $40.10 / $55.69 / $75.70	Professional	26	$40.10	$55.69	$75.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $179.04 / $296.48	Professional		$38.81	$179.04	$296.48
United Facility/Professional Professional Modifier Low / Median / High Price $141.58 / $182.68 / $379.39	Professional		$141.58	$182.68	$379.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.74 / $51.36 / $105.53	Professional	26	$37.74	$51.36	$105.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.70 / $126.70 / $126.70	Professional		$126.70	$126.70	$126.70
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $34.03 / $34.03 / $34.03	Professional	26	$34.03	$34.03	$34.03