Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.38 / $27.37 / $80.23	Facility	26	$15.38	$27.37	$80.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.78 / $104.82 / $160.68	Professional		$85.78	$104.82	$160.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.38 / $20.64 / $29.89	Professional	26	$15.38	$20.64	$29.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.23 / $127.23 / $127.23	Professional		$127.23	$127.23	$127.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.80 / $17.32 / $17.32	Professional	26	$16.80	$17.32	$17.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.63 / $26.63 / $71.50	Facility	26	$26.63	$26.63	$71.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $114.50 / $232.91	Professional		$80.90	$114.50	$232.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.79 / $27.11 / $49.06	Professional	26	$16.79	$27.11	$49.06
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $26.07 / $26.07 / $26.07	Facility	26	$26.07	$26.07	$26.07
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $84.90 / $111.77 / $164.80	Professional		$84.90	$111.77	$164.80
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $16.18 / $27.05 / $34.22	Professional	26	$16.18	$27.05	$34.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.63 / $100.79 / $169.72	Professional		$53.63	$100.79	$169.72
United Facility/Professional Professional Modifier Low / Median / High Price $82.38 / $105.19 / $226.11	Professional		$82.38	$105.19	$226.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.38 / $21.08 / $43.40	Professional	26	$18.38	$21.08	$43.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.37 / $65.37 / $65.37	Professional		$65.37	$65.37	$65.37
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $11.14 / $11.14 / $11.14	Professional	26	$11.14	$11.14	$11.14