Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.94 / $62.50 / $62.50	Facility	26	$9.94	$62.50	$62.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.39 / $250.00 / $475.00	Professional		$48.39	$250.00	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.04 / $62.50 / $140.00	Professional	26	$12.04	$62.50	$140.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $26.88 / $26.88	Professional		$26.88	$26.88	$26.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.03 / $16.18 / $18.52	Professional	26	$9.03	$16.18	$18.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $35.57	Facility	26	$13.50	$13.50	$35.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.85 / $64.65 / $135.06	Professional		$33.85	$64.65	$135.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $13.28 / $26.17	Professional	26	$8.27	$13.28	$26.17
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $12.90 / $12.90 / $12.90	Facility	26	$12.90	$12.90	$12.90
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $66.11 / $95.89	Professional		$39.81	$66.11	$95.89
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $13.56 / $17.41	Professional	26	$9.02	$13.56	$17.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.44 / $34.72 / $58.93	Professional		$21.44	$34.72	$58.93
United Facility/Professional Professional Modifier Low / Median / High Price $40.94 / $58.75 / $115.01	Professional		$40.94	$58.75	$115.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.30 / $10.74 / $23.94	Professional	26	$9.30	$10.74	$23.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $32.54 / $32.54	Professional		$32.54	$32.54	$32.54
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $8.13 / $8.13	Professional	26	$8.13	$8.13	$8.13