Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.20 / $41.03 / $127.91	Facility	26	$25.20	$41.03	$127.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.62 / $186.86 / $348.23	Professional		$181.62	$186.86	$348.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.20 / $29.96 / $59.50	Professional	26	$25.20	$29.96	$59.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.44 / $186.82 / $549.77	Professional		$149.44	$186.82	$549.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.03 / $48.99 / $77.23	Professional	26	$29.03	$48.99	$77.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.88 / $42.88 / $42.88	Facility	26	$42.88	$42.88	$42.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.74 / $258.29 / $485.74	Professional		$175.74	$258.29	$485.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.37 / $46.05 / $68.87	Professional	26	$26.37	$46.05	$68.87
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $129.21 / $183.25 / $403.70	Professional		$129.21	$183.25	$403.70
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $25.40 / $29.03 / $54.45	Professional	26	$25.40	$29.03	$54.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $245.18 / $425.67	Professional		$36.04	$245.18	$425.67
United Facility/Professional Professional Modifier Low / Median / High Price $137.76 / $241.68 / $493.00	Professional		$137.76	$241.68	$493.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.80 / $34.00 / $68.02	Professional	26	$29.80	$34.00	$68.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.76 / $111.76 / $111.76	Professional		$111.76	$111.76	$111.76
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $15.35 / $15.35 / $15.35	Professional	26	$15.35	$15.35	$15.35