Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.96 / $59.07 / $215.28	Facility	26	$46.96	$59.07	$215.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.58 / $122.59 / $194.52	Professional		$91.58	$122.59	$194.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.02 / $101.02 / $101.02	Professional		$101.02	$101.02	$101.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.58 / $78.58 / $152.40	Facility	26	$78.58	$78.58	$152.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.43 / $136.28 / $261.95	Professional		$92.43	$136.28	$261.95
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $56.17 / $56.17 / $56.17	Facility	26	$56.17	$56.17	$56.17
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $88.39 / $140.05 / $188.53	Professional		$88.39	$140.05	$188.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $81.32 / $139.73	Professional		$38.81	$81.32	$139.73
United Facility/Professional Professional Modifier Low / Median / High Price $98.68 / $121.42 / $229.17	Professional		$98.68	$121.42	$229.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $81.44 / $81.44	Professional		$81.44	$81.44	$81.44