Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $129.50 / $164.95 / $616.44	Facility	26	$129.50	$164.95	$616.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.95 / $443.02 / $826.49	Professional		$383.95	$443.02	$826.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $129.50 / $149.43 / $314.33	Professional	26	$129.50	$149.43	$314.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $456.56 / $480.20 / $861.76	Professional		$456.56	$480.20	$861.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $184.74 / $261.98 / $318.08	Professional	26	$184.74	$261.98	$318.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $226.99 / $226.99 / $226.99	Facility	26	$226.99	$226.99	$226.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.85 / $726.20 / $1,066.00	Professional		$467.85	$726.20	$1,066.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $156.94 / $249.60 / $357.62	Professional	26	$156.94	$249.60	$357.62
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $399.49 / $428.03 / $710.60	Professional		$399.49	$428.03	$710.60
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $135.84 / $145.54 / $233.15	Professional	26	$135.84	$145.54	$233.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.19 / $411.18 / $745.32	Professional		$190.19	$411.18	$745.32
United Facility/Professional Professional Modifier Low / Median / High Price $472.00 / $629.51 / $1,069.53	Professional		$472.00	$629.51	$1,069.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $155.25 / $210.55 / $359.25	Professional	26	$155.25	$210.55	$359.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $356.76 / $356.76 / $356.76	Professional		$356.76	$356.76	$356.76
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $116.63 / $116.63 / $116.63	Professional	26	$116.63	$116.63	$116.63