Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.75 / $136.13 / $391.70	Facility	26	$118.75	$136.13	$391.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $125.00 / $475.95	Professional	26	$100.00	$125.00	$475.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $85.85 / $147.49 / $182.55	Professional	26	$85.85	$147.49	$182.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.81 / $128.81 / $128.81	Facility	26	$128.81	$128.81	$128.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.73 / $131.90 / $210.64	Professional	26	$79.73	$131.90	$210.64
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $76.47 / $83.96 / $165.26	Professional	26	$76.47	$83.96	$165.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.63 / $105.55 / $227.53	Professional	26	$92.63	$105.55	$227.53
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $62.11 / $62.11 / $62.11	Professional	26	$62.11	$62.11	$62.11