Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.28 / $20.02 / $83.72	Facility	26	$16.28	$20.02	$83.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $77.81 / $191.75	Professional		$48.76	$77.81	$191.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $21.77 / $60.04	Professional	26	$15.71	$21.77	$60.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.18 / $128.18 / $128.18	Professional		$128.18	$128.18	$128.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.50 / $19.28 / $49.25	Professional	26	$13.50	$19.28	$49.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.80 / $27.80 / $50.62	Facility	26	$27.80	$27.80	$50.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.61 / $103.07 / $197.10	Professional		$52.61	$103.07	$197.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.21 / $21.89 / $45.88	Professional	26	$15.21	$21.89	$45.88
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $18.30 / $18.30 / $18.30	Facility	26	$18.30	$18.30	$18.30
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $124.75 / $166.34	Professional		$54.50	$124.75	$166.34
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $14.76 / $19.91 / $27.47	Professional	26	$14.76	$19.91	$27.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $77.94 / $136.24	Professional		$35.47	$77.94	$136.24
United Facility/Professional Professional Modifier Low / Median / High Price $58.01 / $95.52 / $320.87	Professional		$58.01	$95.52	$320.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.26 / $20.85 / $43.98	Professional	26	$14.26	$20.85	$43.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.83 / $47.83 / $47.83	Professional		$47.83	$47.83	$47.83
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $14.72 / $14.72 / $14.72	Professional	26	$14.72	$14.72	$14.72