Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $298.57 / $557.80 / $1,522.17	Facility	26	$298.57	$557.80	$1,522.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.78 / $657.47 / $1,131.74	Professional		$566.78	$657.47	$1,131.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $298.57 / $365.31 / $734.20	Professional	26	$298.57	$365.31	$734.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $358.14 / $429.77 / $748.69	Professional	26	$358.14	$429.77	$748.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $523.61 / $523.61 / $523.61	Facility	26	$523.61	$523.61	$523.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.22 / $1,035.50 / $1,546.80	Professional		$656.22	$1,035.50	$1,546.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $367.88 / $620.79 / $991.94	Professional	26	$367.88	$620.79	$991.94
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $615.60 / $659.57 / $1,050.13	Professional		$615.60	$659.57	$1,050.13
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $313.37 / $335.76 / $676.29	Professional	26	$313.37	$335.76	$676.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $364.81 / $576.23 / $1,186.46	Professional		$364.81	$576.23	$1,186.46
United Facility/Professional Professional Modifier Low / Median / High Price $652.39 / $862.92 / $1,518.74	Professional		$652.39	$862.92	$1,518.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $377.01 / $538.54 / $876.86	Professional	26	$377.01	$538.54	$876.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $489.24 / $489.24 / $489.24	Professional		$489.24	$489.24	$489.24
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $242.58 / $242.58 / $242.58	Professional	26	$242.58	$242.58	$242.58