Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $61.66 / $204.17	Facility	26	$37.15	$61.66	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $151.36 / $446.68	Professional		$81.28	$151.36	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $169.82	Professional		$83.18	$104.71	$169.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $63.10 / $109.65	Facility	26	$13.49	$63.10	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $251.19	Professional		$81.28	$128.82	$251.19
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $66.07 / $66.07	Facility	26	$66.07	$66.07	$66.07
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $173.78	Professional		$79.43	$114.82	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $46.77 / $102.33	Professional		$32.36	$46.77	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $194.98	Professional		$91.20	$109.65	$194.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $112.20	Professional		$81.28	$81.28	$112.20