Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $46.77 / $234.42	Facility	26	$15.14	$46.77	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $190.55	Professional		$85.11	$114.82	$190.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $20.89 / $45.71	Professional	26	$15.49	$20.89	$45.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $87.10 / $104.71	Professional		$72.44	$87.10	$104.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $19.95 / $28.84	Professional	26	$19.05	$19.95	$28.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.62 / $26.30 / $44.67	Facility	26	$5.62	$26.30	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $239.88	Professional		$79.43	$114.82	$239.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $25.70 / $52.48	Professional	26	$16.60	$25.70	$52.48
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $26.30 / $26.30	Facility	26	$26.30	$26.30	$26.30
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $165.96	Professional		$83.18	$100.00	$165.96
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $22.91 / $33.88	Professional	26	$16.22	$22.91	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $36.31 / $138.04	Professional		$14.13	$36.31	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $194.98	Professional		$83.18	$104.71	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $21.38 / $40.74	Professional	26	$18.62	$21.38	$40.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $128.82	Professional		$72.44	$72.44	$128.82
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $12.30 / $22.91	Professional	26	$12.30	$12.30	$22.91