Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.48 / $88.13 / $291.14	Facility	26	$56.48	$88.13	$291.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.20 / $162.43 / $327.43	Professional		$127.20	$162.43	$327.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.50 / $212.26 / $289.92	Professional		$141.50	$212.26	$289.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.73 / $96.73 / $269.13	Facility	26	$96.73	$96.73	$269.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.47 / $196.41 / $398.05	Professional		$131.47	$196.41	$398.05
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $99.98 / $99.98 / $99.98	Facility	26	$99.98	$99.98	$99.98
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $123.81 / $188.23 / $275.52	Professional		$123.81	$188.23	$275.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.87 / $129.55 / $256.00	Professional		$84.87	$129.55	$256.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.15 / $167.51 / $288.08	Professional		$147.15	$167.51	$288.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.55 / $123.55 / $123.55	Professional		$123.55	$123.55	$123.55