Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.65 / $58.56 / $194.22	Facility	26	$37.65	$58.56	$194.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $111.42 / $276.50	Professional		$78.23	$111.42	$276.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.48 / $116.99 / $160.69	Professional		$81.48	$116.99	$160.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.00 / $64.00 / $177.76	Facility	26	$64.00	$64.00	$177.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.77 / $127.86 / $249.18	Professional		$80.77	$127.86	$249.18
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $65.87 / $65.87 / $65.87	Facility	26	$65.87	$65.87	$65.87
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $122.25 / $169.93	Professional		$74.45	$122.25	$169.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $83.84 / $144.34	Professional		$40.43	$83.84	$144.34
United Facility/Professional Professional Modifier Low / Median / High Price $93.28 / $107.47 / $206.40	Professional		$93.28	$107.47	$206.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $73.45 / $73.45	Professional		$73.45	$73.45	$73.45