Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.04 / $53.38 / $191.18	Facility	26	$37.04	$53.38	$191.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.95 / $313.31 / $567.24	Professional		$294.95	$313.31	$567.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $345.76 / $345.76 / $345.76	Professional		$345.76	$345.76	$345.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.42 / $64.42 / $64.42	Facility	26	$64.42	$64.42	$64.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.77 / $471.34 / $716.10	Professional		$296.77	$471.34	$716.10
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $283.70 / $302.54 / $488.00	Professional		$283.70	$302.54	$488.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $370.53 / $583.98	Professional		$62.75	$370.53	$583.98
United Facility/Professional Professional Modifier Low / Median / High Price $294.73 / $383.42 / $795.74	Professional		$294.73	$383.42	$795.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.07 / $213.07 / $213.07	Professional		$213.07	$213.07	$213.07