Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.64 / $41.69 / $171.38	Facility	26	$33.64	$41.69	$171.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $110.20 / $247.26	Professional		$74.95	$110.20	$247.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.91 / $110.29 / $156.91	Professional		$88.91	$110.29	$156.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.04 / $57.04 / $159.27	Facility	26	$57.04	$57.04	$159.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.26 / $121.45 / $241.56	Professional		$80.26	$121.45	$241.56
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $58.74 / $58.74 / $58.74	Facility	26	$58.74	$58.74	$58.74
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $77.79 / $118.31 / $170.89	Professional		$77.79	$118.31	$170.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.06 / $83.14 / $144.23	Professional		$38.06	$83.14	$144.23
United Facility/Professional Professional Modifier Low / Median / High Price $91.43 / $101.02 / $192.29	Professional		$91.43	$101.02	$192.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $74.31 / $74.31	Professional		$74.31	$74.31	$74.31