Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $87.10 / $281.84	Facility	26	$52.48	$87.10	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $281.84 / $776.25	Professional		$173.78	$281.84	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $416.87	Professional		$194.98	$288.40	$416.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $89.13 / $151.36	Facility	26	$19.05	$89.13	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $512.86	Professional		$162.18	$239.88	$512.86
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	26	$89.13	$89.13	$89.13
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $213.80 / $363.08	Professional		$131.83	$213.80	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $109.65 / $229.09	Professional		$32.36	$109.65	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $416.87	Professional		$162.18	$218.78	$416.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $251.19	Professional		$162.18	$162.18	$251.19