Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $58.88 / $194.98	Facility	26	$36.31	$58.88	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $354.81	Professional		$79.43	$114.82	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $91.20	Professional		$75.86	$87.10	$91.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $61.66 / $104.71	Facility	26	$13.18	$61.66	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $151.36 / $537.03	Professional		$81.28	$151.36	$537.03
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	26	$61.66	$61.66	$61.66
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $144.54 / $457.09	Professional		$83.18	$144.54	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $52.48 / $131.83	Professional		$32.36	$52.48	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $407.38	Professional		$100.00	$144.54	$407.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $112.20	Professional		$87.10	$87.10	$112.20