Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $79.43 / $239.88	Facility	26	$46.77	$79.43	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $389.05	Professional		$147.91	$208.93	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $354.81	Professional		$190.55	$190.55	$354.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $83.18 / $120.23	Facility	26	$18.20	$83.18	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $398.11	Professional		$173.78	$251.19	$398.11
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $181.97 / $229.09	Professional		$169.82	$181.97	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $83.18 / $204.17	Professional		$32.36	$83.18	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $354.81	Professional		$151.36	$208.93	$354.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $239.88	Professional		$117.49	$117.49	$239.88