Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.80 / $118.75 / $350.49	Facility	26	$85.80	$118.75	$350.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $118.75 / $200.00	Professional	26	$90.00	$118.75	$200.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $78.00 / $131.63 / $162.47	Professional	26	$78.00	$131.63	$162.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.69 / $115.69 / $115.69	Facility	26	$115.69	$115.69	$115.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.91 / $121.41 / $191.46	Professional	26	$71.91	$121.41	$191.46
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $68.25 / $74.86 / $150.58	Professional	26	$68.25	$74.86	$150.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.81 / $103.78 / $203.59	Professional	26	$86.81	$103.78	$203.59
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $62.70 / $62.70 / $62.70	Professional	26	$62.70	$62.70	$62.70