Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $117.49 / $302.00	Facility	26	$112.20	$117.49	$302.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $125.89 / $302.00	Professional	26	$87.10	$125.89	$302.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $138.04 / $165.96	Professional	26	$57.54	$138.04	$165.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $100.00 / $141.25	Facility	26	$21.38	$100.00	$141.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $97.72 / $169.82	Professional	26	$61.66	$97.72	$169.82
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $64.57 / $120.23	Professional	26	$60.26	$64.57	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $85.11 / $158.49	Professional	26	$72.44	$85.11	$158.49
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $67.61 / $85.11	Professional	26	$46.77	$67.61	$85.11