Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.28 / $35.40 / $113.54	Facility	26	$22.28	$35.40	$113.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.38 / $83.07 / $148.79	Professional		$58.38	$83.07	$148.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.47 / $96.32 / $134.13	Professional		$65.47	$96.32	$134.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.15 / $38.15 / $105.85	Facility	26	$38.15	$38.15	$105.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.67 / $97.32 / $188.89	Professional		$60.67	$97.32	$188.89
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $39.15 / $39.15 / $39.15	Facility	26	$39.15	$39.15	$39.15
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $57.29 / $98.72 / $129.66	Professional		$57.29	$98.72	$129.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.32 / $82.15 / $140.90	Professional		$36.32	$82.15	$140.90
United Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $79.37 / $147.22	Professional		$69.02	$79.37	$147.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.99 / $55.99 / $55.99	Professional		$55.99	$55.99	$55.99