Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.25 / $14.88 / $62.99	Facility	26	$12.25	$14.88	$62.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.77 / $80.17 / $126.24	Professional		$61.77	$80.17	$126.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.08 / $188.21 / $188.21	Professional		$86.08	$188.21	$188.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.81 / $20.81 / $55.02	Facility	26	$20.81	$20.81	$55.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.81 / $81.92 / $160.41	Professional		$56.81	$81.92	$160.41
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $20.03 / $20.03 / $20.03	Facility	26	$20.03	$20.03	$20.03
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $58.55 / $79.56 / $111.87	Professional		$58.55	$79.56	$111.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.51 / $67.19 / $113.47	Professional		$35.51	$67.19	$113.47
United Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $74.42 / $154.16	Professional		$58.49	$74.42	$154.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $44.41 / $44.41	Professional		$44.41	$44.41	$44.41