Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $30.20 / $100.00	Facility	26	$18.20	$30.20	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $79.43 / $288.40	Professional		$48.98	$79.43	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $109.65	Professional		$51.29	$69.18	$109.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.76 / $31.62 / $53.70	Facility	26	$6.76	$31.62	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $75.86 / $154.88	Professional		$47.86	$75.86	$154.88
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	26	$30.90	$30.90	$30.90
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $114.82	Professional		$47.86	$70.79	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $33.11 / $60.26	Professional		$19.50	$33.11	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $123.03	Professional		$52.48	$67.61	$123.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $67.61	Professional		$44.67	$44.67	$67.61