Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.05 / $24.79 / $102.52	Facility	26	$20.05	$24.79	$102.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $155.02 / $209.30	Professional		$145.72	$155.02	$209.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.05 / $23.09 / $37.03	Professional	26	$20.05	$23.09	$37.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.53 / $22.53 / $38.03	Professional	26	$22.53	$22.53	$38.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.22 / $33.22 / $33.22	Facility	26	$33.22	$33.22	$33.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $199.08 / $357.90	Professional		$137.40	$199.08	$357.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.99 / $35.69 / $53.60	Professional	26	$20.99	$35.69	$53.60
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $130.96 / $143.01 / $255.37	Professional		$130.96	$143.01	$255.37
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $19.72 / $22.53 / $43.58	Professional	26	$19.72	$22.53	$43.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $177.37 / $305.67	Professional		$36.04	$177.37	$305.67
United Facility/Professional Professional Modifier Low / Median / High Price $123.26 / $180.92 / $397.75	Professional		$123.26	$180.92	$397.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.28 / $26.17 / $55.86	Professional	26	$23.28	$26.17	$55.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.56 / $111.56 / $111.56	Professional		$111.56	$111.56	$111.56
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $15.47 / $15.47 / $15.47	Professional	26	$15.47	$15.47	$15.47