Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.36 / $78.42 / $184.19	Facility	26	$39.36	$78.42	$184.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.92 / $122.45 / $223.00	Professional		$92.92	$122.45	$223.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.20 / $122.36 / $300.00	Professional		$114.20	$122.36	$300.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.28 / $70.28 / $177.22	Facility	26	$70.28	$70.28	$177.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.68 / $139.33 / $288.33	Professional		$99.68	$139.33	$288.33
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $66.03 / $66.03 / $66.03	Facility	26	$66.03	$66.03	$66.03
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $102.66 / $133.35 / $204.89	Professional		$102.66	$133.35	$204.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $115.02 / $219.90	Professional		$64.59	$115.02	$219.90
United Facility/Professional Professional Modifier Low / Median / High Price $96.78 / $120.47 / $228.08	Professional		$96.78	$120.47	$228.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.45 / $85.45 / $85.45	Professional		$85.45	$85.45	$85.45