Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $75.86 / $213.80	Facility	26	$45.71	$75.86	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $234.42	Professional		$91.20	$123.03	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $100.00 / $123.03	Professional		$87.10	$100.00	$123.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $77.62 / $134.90	Facility	26	$16.60	$77.62	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $269.15	Professional		$93.33	$131.83	$269.15
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $56.23 / $56.23	Facility	26	$56.23	$56.23	$56.23
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $190.55	Professional		$93.33	$125.89	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $144.54	Professional		$32.36	$54.95	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $213.80	Professional		$97.72	$123.03	$213.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $131.83	Professional		$89.13	$89.13	$131.83