Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $117.49 / $1,000.00	Facility	26	$114.82	$117.49	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $125.89 / $257.04	Professional	26	$89.13	$125.89	$257.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $134.90 / $134.90	Professional	26	$134.90	$134.90	$134.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.39 / $104.71 / $147.91	Facility	26	$22.39	$104.71	$147.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $107.15 / $173.78	Professional	26	$63.10	$107.15	$173.78
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $67.61 / $128.82	Professional	26	$63.10	$67.61	$128.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $91.20 / $177.83	Professional	26	$75.86	$91.20	$177.83
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $61.66 / $89.13	Professional	26	$42.66	$61.66	$89.13