Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $36.31 / $120.23	Facility	26	$21.88	$36.31	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $95.50 / $275.42	Professional		$58.88	$95.50	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $144.54	Professional		$66.07	$89.13	$144.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $38.02 / $64.57	Facility	26	$8.13	$38.02	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $190.55	Professional		$61.66	$97.72	$190.55
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $38.90 / $38.90	Facility	26	$38.90	$38.90	$38.90
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $131.83	Professional		$61.66	$87.10	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $39.81 / $81.28	Professional		$25.70	$39.81	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $147.91	Professional		$70.79	$83.18	$147.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $87.10	Professional		$61.66	$61.66	$87.10