Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.90 / $118.75 / $235.92	Facility	26	$57.90	$118.75	$235.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $118.75 / $162.53	Professional	26	$90.00	$118.75	$162.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.76 / $98.69 / $108.77	Professional	26	$53.76	$98.69	$108.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.58 / $78.58 / $78.58	Facility	26	$78.58	$78.58	$78.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.35 / $81.81 / $125.27	Professional	26	$48.35	$81.81	$125.27
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $46.05 / $52.63 / $109.43	Professional	26	$46.05	$52.63	$109.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.39 / $70.97 / $125.00	Professional	26	$58.39	$70.97	$125.00
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $41.53 / $41.53 / $41.53	Professional	26	$41.53	$41.53	$41.53