Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $31.62 / $104.71	Facility	26	$19.05	$31.62	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $190.55	Professional		$61.66	$91.20	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $186.21	Professional		$66.07	$83.18	$186.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.92 / $32.36 / $45.71	Facility	26	$6.92	$32.36	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $147.91	Professional		$60.26	$79.43	$147.91
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $74.13 / $107.15	Professional		$24.55	$74.13	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $36.31 / $77.62	Professional		$15.85	$36.31	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $79.43 / $120.23	Professional		$48.98	$79.43	$120.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $107.15	Professional		$33.88	$47.86	$107.15