Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.06 / $77.13 / $322.99	Facility	26	$67.06	$77.13	$322.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.65 / $337.96 / $526.44	Professional		$240.65	$337.96	$526.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $267.04 / $267.04 / $330.30	Professional		$267.04	$267.04	$330.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.82 / $113.82 / $113.82	Facility	26	$113.82	$113.82	$113.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.22 / $446.58 / $772.33	Professional		$252.22	$446.58	$772.33
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $111.17 / $111.17 / $111.17	Facility	26	$111.17	$111.17	$111.17
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $286.80 / $409.71 / $571.04	Professional		$286.80	$409.71	$571.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.56 / $237.55 / $439.80	Professional		$96.56	$237.55	$439.80
United Facility/Professional Professional Modifier Low / Median / High Price $303.23 / $486.05 / $1,026.56	Professional		$303.23	$486.05	$1,026.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $259.10 / $259.10 / $259.10	Professional		$259.10	$259.10	$259.10