Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.08 / $78.06 / $325.77	Facility	26	$63.08	$78.06	$325.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.27 / $165.40 / $265.55	Professional		$115.27	$165.40	$265.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.34 / $72.78 / $139.41	Professional	26	$49.34	$72.78	$139.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.93 / $122.88 / $150.53	Professional	26	$52.93	$122.88	$150.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.98 / $106.98 / $161.03	Facility	26	$106.98	$106.98	$161.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.61 / $196.87 / $577.85	Professional		$119.61	$196.87	$577.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.01 / $70.83 / $154.97	Professional	26	$47.01	$70.83	$154.97
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $59.15 / $59.15 / $59.15	Facility	26	$59.15	$59.15	$59.15
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $113.91 / $195.19 / $531.28	Professional		$113.91	$195.19	$531.28
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $47.22 / $66.16 / $101.30	Professional	26	$47.22	$66.16	$101.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.62 / $108.65 / $208.56	Professional		$57.62	$108.65	$208.56
United Facility/Professional Professional Modifier Low / Median / High Price $128.55 / $189.32 / $421.89	Professional		$128.55	$189.32	$421.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.87 / $80.69 / $145.50	Professional	26	$43.87	$80.69	$145.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.84 / $88.84 / $88.84	Professional		$88.84	$88.84	$88.84
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $48.17 / $48.17 / $48.17	Professional	26	$48.17	$48.17	$48.17