Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.40 / $118.75 / $306.37	Facility	26	$75.40	$118.75	$306.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.75 / $118.75 / $155.00	Professional	26	$118.75	$118.75	$155.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $131.21 / $131.21 / $131.21	Professional	26	$131.21	$131.21	$131.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.10 / $102.10 / $102.10	Facility	26	$102.10	$102.10	$102.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.49 / $102.94 / $165.62	Professional	26	$63.49	$102.94	$165.62
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $59.98 / $65.75 / $129.61	Professional	26	$59.98	$65.75	$129.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.72 / $90.67 / $189.84	Professional	26	$72.72	$90.67	$189.84
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $59.78 / $59.78 / $59.78	Professional	26	$59.78	$59.78	$59.78