Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.68 / $47.44 / $155.33	Facility	26	$29.68	$47.44	$155.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.05 / $155.91 / $278.12	Professional		$147.05	$155.91	$278.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.02 / $126.02 / $157.12	Professional		$126.02	$126.02	$157.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.32 / $50.32 / $50.32	Facility	26	$50.32	$50.32	$50.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $262.20 / $395.94	Professional		$148.16	$262.20	$395.94
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $137.84 / $157.53 / $313.19	Professional		$137.84	$157.53	$313.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $178.17 / $305.67	Professional		$36.67	$178.17	$305.67
United Facility/Professional Professional Modifier Low / Median / High Price $172.72 / $195.65 / $386.15	Professional		$172.72	$195.65	$386.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $143.12 / $143.12 / $143.12	Professional		$143.12	$143.12	$143.12