Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $91.20 / $741.31	Facility	26	$61.66	$91.20	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $691.83	Professional		$251.19	$426.58	$691.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $85.11 / $154.88	Professional	26	$61.66	$85.11	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $53.70 / $53.70	Professional	26	$53.70	$53.70	$53.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.38 / $81.28 / $114.82	Facility	26	$17.38	$81.28	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $831.76	Professional		$288.40	$407.38	$831.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $69.18 / $138.04	Professional	26	$50.12	$69.18	$138.04
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $309.03 / $501.19	Professional		$288.40	$309.03	$501.19
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $51.29 / $75.86	Professional	26	$48.98	$51.29	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $95.50 / $436.52	Professional		$32.36	$95.50	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $630.96	Professional		$316.23	$371.54	$630.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $61.66 / $104.71	Professional	26	$56.23	$61.66	$104.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $407.38	Professional		$269.15	$269.15	$407.38
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $45.71 / $69.18	Professional	26	$45.71	$45.71	$69.18