Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.56 / $42.38 / $136.02	Facility	26	$26.56	$42.38	$136.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.77 / $229.35 / $475.28	Professional		$198.77	$229.35	$475.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.36 / $180.36 / $206.13	Professional		$180.36	$180.36	$206.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.21 / $44.21 / $44.21	Facility	26	$44.21	$44.21	$44.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.18 / $338.40 / $519.34	Professional		$196.18	$338.40	$519.34
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $180.36 / $204.24 / $421.39	Professional		$180.36	$204.24	$421.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $245.88 / $425.67	Professional		$36.17	$245.88	$425.67
United Facility/Professional Professional Modifier Low / Median / High Price $228.13 / $261.99 / $543.63	Professional		$228.13	$261.99	$543.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $183.27 / $183.27 / $183.27	Professional		$183.27	$183.27	$183.27