Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.27 / $94.19 / $310.63	Facility	26	$60.27	$94.19	$310.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.10 / $173.43 / $432.00	Professional		$113.10	$173.43	$432.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.27 / $81.76 / $170.91	Professional	26	$60.27	$81.76	$170.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.88 / $190.48 / $273.14	Professional		$138.88	$190.48	$273.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $69.84 / $102.66 / $147.03	Professional	26	$69.84	$102.66	$147.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.92 / $102.92 / $286.61	Facility	26	$102.92	$102.92	$286.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.18 / $195.44 / $386.55	Professional		$121.18	$195.44	$386.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.95 / $100.26 / $198.99	Professional	26	$62.95	$100.26	$198.99
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $105.75 / $105.75 / $105.75	Facility	26	$105.75	$105.75	$105.75
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $116.65 / $205.09 / $277.72	Professional		$116.65	$205.09	$277.72
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $59.89 / $102.66 / $135.54	Professional	26	$59.89	$102.66	$135.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.01 / $127.28 / $227.46	Professional		$84.01	$127.28	$227.46
United Facility/Professional Professional Modifier Low / Median / High Price $138.86 / $170.91 / $314.18	Professional		$138.86	$170.91	$314.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.63 / $80.06 / $148.69	Professional	26	$71.63	$80.06	$148.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $110.30 / $110.30	Professional		$110.30	$110.30	$110.30
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $55.36 / $55.36 / $55.36	Professional	26	$55.36	$55.36	$55.36