Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $36.31 / $154.88	Facility	26	$33.11	$36.31	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $229.09	Professional		$75.86	$104.71	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $45.71 / $112.20	Professional	26	$31.62	$45.71	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $97.72	Professional		$58.88	$79.43	$97.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $39.81 / $74.13	Professional	26	$33.11	$39.81	$74.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.75 / $54.95 / $95.50	Facility	26	$11.75	$54.95	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $223.87	Professional		$75.86	$104.71	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $39.81 / $85.11	Professional	26	$26.30	$39.81	$85.11
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $37.15 / $37.15	Facility	26	$37.15	$37.15	$37.15
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $154.88	Professional		$67.61	$100.00	$154.88
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $36.31 / $58.88	Professional	26	$28.18	$36.31	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $120.23	Professional		$32.36	$47.86	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $177.83	Professional		$79.43	$97.72	$177.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $32.36 / $58.88	Professional	26	$26.92	$32.36	$58.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $104.71	Professional		$75.86	$75.86	$104.71
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $33.88 / $48.98	Professional	26	$33.88	$33.88	$48.98