Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.34 / $80.69 / $328.01	Facility	26	$64.34	$80.69	$328.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $160.40 / $280.79	Professional		$108.32	$160.40	$280.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.34 / $81.87 / $126.12	Professional	26	$64.34	$81.87	$126.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $73.34 / $77.93 / $105.44	Professional	26	$73.34	$77.93	$105.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.81 / $106.81 / $258.57	Facility	26	$106.81	$106.81	$258.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.97 / $217.66 / $659.81	Professional		$109.97	$217.66	$659.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.81 / $100.93 / $187.19	Professional	26	$66.81	$100.93	$187.19
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $94.74 / $94.74 / $94.74	Facility	26	$94.74	$94.74	$94.74
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $112.58 / $213.33 / $581.21	Professional		$112.58	$213.33	$581.21
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $66.31 / $99.76 / $132.04	Professional	26	$66.31	$99.76	$132.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.98 / $106.67 / $185.17	Professional		$59.98	$106.67	$185.17
United Facility/Professional Professional Modifier Low / Median / High Price $134.04 / $199.72 / $474.56	Professional		$134.04	$199.72	$474.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.42 / $84.62 / $165.53	Professional	26	$69.42	$84.62	$165.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.24 / $101.24 / $101.24	Professional		$101.24	$101.24	$101.24
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $59.45 / $59.45 / $59.45	Professional	26	$59.45	$59.45	$59.45