Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.40 / $54.53 / $224.32	Facility	26	$43.40	$54.53	$224.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.30 / $247.34 / $429.33	Professional		$233.30	$247.34	$429.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.40 / $44.53 / $86.75	Professional	26	$43.40	$44.53	$86.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.89 / $186.89 / $214.67	Professional		$186.89	$186.89	$214.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $131.96 / $131.96 / $131.96	Professional	26	$131.96	$131.96	$131.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.28 / $74.28 / $74.28	Facility	26	$74.28	$74.28	$74.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.02 / $387.38 / $618.47	Professional		$234.02	$387.38	$618.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.99 / $79.44 / $117.93	Professional	26	$45.99	$79.44	$117.93
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $214.67 / $242.60 / $490.56	Professional		$214.67	$242.60	$490.56
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $43.38 / $49.57 / $94.82	Professional	26	$43.38	$49.57	$94.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.86 / $279.88 / $479.76	Professional		$41.86	$279.88	$479.76
United Facility/Professional Professional Modifier Low / Median / High Price $248.22 / $307.10 / $631.77	Professional		$248.22	$307.10	$631.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.34 / $58.38 / $122.23	Professional	26	$51.34	$58.38	$122.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $224.36 / $224.36 / $224.36	Professional		$224.36	$224.36	$224.36
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $42.52 / $42.52 / $42.52	Professional	26	$42.52	$42.52	$42.52