Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $117.49 / $724.44	Facility	26	$87.10	$117.49	$724.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $125.89 / $275.42	Professional	26	$69.18	$125.89	$275.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $91.20 / $109.65	Professional	26	$67.61	$91.20	$109.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $77.62 / $112.20	Facility	26	$16.60	$77.62	$112.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $77.62 / $128.82	Professional	26	$47.86	$77.62	$128.82
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $50.12 / $93.33	Professional	26	$46.77	$50.12	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $70.79 / $123.03	Professional	26	$57.54	$70.79	$123.03
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $43.65 / $66.07	Professional	26	$30.20	$43.65	$66.07