Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $44.67 / $537.03	Facility	26	$34.67	$44.67	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $363.08	Professional		$93.33	$138.04	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $58.88 / $100.00	Facility	26	$12.59	$58.88	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $537.03	Professional		$100.00	$181.97	$537.03
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $58.88 / $58.88	Facility	26	$58.88	$58.88	$58.88
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $169.82 / $457.09	Professional		$100.00	$169.82	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $67.61 / $169.82	Professional		$32.36	$67.61	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $436.52	Professional		$120.23	$169.82	$436.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $141.25	Professional		$104.71	$104.71	$141.25