Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $16.22 / $87.10	Facility	26	$15.85	$16.22	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $74.13 / $213.80	Professional		$48.98	$74.13	$213.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $29.51 / $70.79	Professional	26	$16.22	$29.51	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $75.86	Professional		$66.07	$66.07	$75.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $24.55 / $38.90	Professional	26	$18.20	$24.55	$38.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $28.18 / $47.86	Facility	26	$6.03	$28.18	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $100.00 / $204.17	Professional		$52.48	$100.00	$204.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $21.38 / $48.98	Professional	26	$14.13	$21.38	$48.98
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $18.20 / $18.20	Facility	26	$18.20	$18.20	$18.20
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $109.65 / $158.49	Professional		$54.95	$109.65	$158.49
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $18.20 / $29.51	Professional	26	$13.80	$18.20	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $36.31 / $93.33	Professional		$18.20	$36.31	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $302.00	Professional		$57.54	$95.50	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $20.89 / $36.31	Professional	26	$14.13	$20.89	$36.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $79.43	Professional		$52.48	$52.48	$79.43
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $16.60 / $24.55	Professional	26	$16.60	$16.60	$24.55