Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.20 / $79.25 / $300.31	Facility	26	$62.20	$79.25	$300.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.31 / $218.51 / $371.83	Professional		$193.31	$218.51	$371.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $242.62 / $255.32 / $457.94	Professional		$242.62	$255.32	$457.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.64 / $109.64 / $109.64	Facility	26	$109.64	$109.64	$109.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.45 / $328.85 / $473.87	Professional		$227.45	$328.85	$473.87
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $212.29 / $227.45 / $362.13	Professional		$212.29	$227.45	$362.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.79 / $232.53 / $415.93	Professional		$94.79	$232.53	$415.93
United Facility/Professional Professional Modifier Low / Median / High Price $195.07 / $271.76 / $496.10	Professional		$195.07	$271.76	$496.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $140.79 / $140.79 / $140.79	Professional		$140.79	$140.79	$140.79