Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $100.00 / $741.31	Facility	26	$48.98	$100.00	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $323.59	Professional		$112.20	$154.88	$323.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $67.61 / $162.18	Professional	26	$50.12	$67.61	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $144.54 / $229.09	Professional		$131.83	$144.54	$229.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $69.18 / $69.18	Professional	26	$69.18	$69.18	$69.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $87.10 / $147.91	Facility	26	$18.62	$87.10	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $346.74	Professional		$120.23	$173.78	$346.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $83.18 / $165.96	Professional	26	$53.70	$83.18	$165.96
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $81.28 / $81.28	Facility	26	$81.28	$81.28	$81.28
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $239.88	Professional		$123.03	$154.88	$239.88
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $70.79 / $107.15	Professional	26	$53.70	$70.79	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $70.79 / $147.91	Professional		$32.36	$70.79	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $147.91 / $269.15	Professional		$131.83	$147.91	$269.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $66.07 / $123.03	Professional	26	$58.88	$66.07	$123.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $173.78	Professional		$112.20	$112.20	$173.78
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $48.98 / $75.86	Professional	26	$48.98	$48.98	$75.86