Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.65 / $60.41 / $228.25	Facility	26	$47.65	$60.41	$228.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.34 / $164.66 / $301.00	Professional		$147.34	$164.66	$301.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $184.38 / $184.38 / $339.51	Professional		$184.38	$184.38	$339.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.69 / $83.69 / $83.69	Facility	26	$83.69	$83.69	$83.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.85 / $251.62 / $361.66	Professional		$172.85	$251.62	$361.66
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $161.33 / $172.85 / $275.20	Professional		$161.33	$172.85	$275.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $166.30 / $293.30	Professional		$62.75	$166.30	$293.30
United Facility/Professional Professional Modifier Low / Median / High Price $149.60 / $209.06 / $383.53	Professional		$149.60	$209.06	$383.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.60 / $107.60 / $107.60	Professional		$107.60	$107.60	$107.60