Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.99 / $64.13 / $249.56	Facility	26	$49.99	$64.13	$249.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.14 / $151.44 / $236.00	Professional		$113.14	$151.44	$236.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.99 / $65.12 / $94.95	Professional	26	$49.99	$65.12	$94.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.82 / $136.80 / $268.04	Professional		$130.82	$136.80	$268.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $104.48 / $104.48 / $104.48	Professional	26	$104.48	$104.48	$104.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.87 / $86.87 / $225.31	Facility	26	$86.87	$86.87	$225.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.79 / $172.36 / $345.66	Professional		$119.79	$172.36	$345.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.33 / $82.62 / $159.88	Professional	26	$53.33	$82.62	$159.88
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $81.76 / $81.76 / $81.76	Facility	26	$81.76	$81.76	$81.76
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $114.47 / $170.93 / $232.39	Professional		$114.47	$170.93	$232.39
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $51.02 / $79.00 / $107.31	Professional	26	$51.02	$79.00	$107.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $127.93 / $252.91	Professional		$83.68	$127.93	$252.91
United Facility/Professional Professional Modifier Low / Median / High Price $130.08 / $147.08 / $253.71	Professional		$130.08	$147.08	$253.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.99 / $65.40 / $121.17	Professional	26	$59.99	$65.40	$121.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.30 / $102.30 / $102.30	Professional		$102.30	$102.30	$102.30
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $43.87 / $43.87 / $43.87	Professional	26	$43.87	$43.87	$43.87