Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.28 / $28.22 / $92.59	Facility	26	$18.28	$28.22	$92.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $63.19 / $129.99	Professional		$46.93	$63.19	$129.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $77.12 / $90.80	Professional		$51.42	$77.12	$90.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.61 / $31.61 / $83.57	Facility	26	$31.61	$31.61	$83.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $74.53 / $153.22	Professional		$47.79	$74.53	$153.22
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $30.77 / $30.77 / $30.77	Facility	26	$30.77	$30.77	$30.77
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $44.99 / $82.76 / $114.67	Professional		$44.99	$82.76	$114.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $48.52 / $91.36	Professional		$28.56	$48.52	$91.36
United Facility/Professional Professional Modifier Low / Median / High Price $52.30 / $65.76 / $119.06	Professional		$52.30	$65.76	$119.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $40.29	Professional		$40.29	$40.29	$40.29