Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $117.49 / $1,230.27	Facility	26	$117.49	$117.49	$1,230.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $190.55 / $371.54	Professional	26	$104.71	$190.55	$371.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $165.96 / $194.98	Professional	26	$87.10	$165.96	$194.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $128.82 / $186.21	Facility	26	$28.18	$128.82	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $131.83 / $223.87	Professional	26	$79.43	$131.83	$223.87
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $83.18 / $158.49	Professional	26	$77.62	$83.18	$158.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $109.65 / $229.09	Professional	26	$93.33	$109.65	$229.09
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $72.44 / $112.20	Professional	26	$50.12	$72.44	$112.20