Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.91 / $52.80 / $224.87	Facility	26	$45.91	$52.80	$224.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.35 / $203.39 / $428.00	Professional		$151.35	$203.39	$428.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.24 / $160.24 / $160.24	Professional		$160.24	$160.24	$160.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.34 / $78.34 / $78.34	Facility	26	$78.34	$78.34	$78.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $303.14 / $483.53	Professional		$158.88	$303.14	$483.53
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $76.77 / $76.77 / $76.77	Facility	26	$76.77	$76.77	$76.77
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $180.57 / $257.95 / $359.52	Professional		$180.57	$257.95	$359.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $139.86 / $259.74	Professional		$63.95	$139.86	$259.74
United Facility/Professional Professional Modifier Low / Median / High Price $191.89 / $419.40 / $939.72	Professional		$191.89	$419.40	$939.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $163.13 / $163.13 / $163.13	Professional		$163.13	$163.13	$163.13