Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.71 / $82.18 / $269.20	Facility	26	$52.71	$82.18	$269.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.19 / $222.91 / $428.62	Professional		$175.19	$222.91	$428.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.12 / $286.25 / $389.53	Professional		$190.12	$286.25	$389.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.24 / $90.24 / $244.06	Facility	26	$90.24	$90.24	$244.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.80 / $240.51 / $510.52	Professional		$171.80	$240.51	$510.52
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $89.32 / $89.32 / $89.32	Facility	26	$89.32	$89.32	$89.32
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $153.32 / $238.80 / $369.26	Professional		$153.32	$238.80	$369.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.97 / $188.18 / $352.05	Professional		$96.97	$188.18	$352.05
United Facility/Professional Professional Modifier Low / Median / High Price $161.53 / $218.71 / $394.91	Professional		$161.53	$218.71	$394.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.63 / $147.63 / $147.63	Professional		$147.63	$147.63	$147.63