Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.37 / $22.28 / $91.57	Facility	26	$19.37	$22.28	$91.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $79.83 / $113.59	Professional		$63.57	$79.83	$113.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.27 / $54.27 / $54.27	Professional		$54.27	$54.27	$54.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $99.80 / $194.07	Professional		$64.09	$99.80	$194.07
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $31.88 / $31.88 / $31.88	Facility	26	$31.88	$31.88	$31.88
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $60.24 / $95.07 / $131.72	Professional		$60.24	$95.07	$131.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $85.78 / $145.36	Professional		$38.81	$85.78	$145.36
United Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $80.72 / $146.85	Professional		$72.37	$80.72	$146.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.47 / $76.47 / $76.47	Professional		$76.47	$76.47	$76.47