Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.75 / $118.75 / $395.38	Facility	26	$118.75	$118.75	$395.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $125.00 / $334.17	Professional	26	$100.00	$125.00	$334.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $89.68 / $179.69 / $182.01	Professional	26	$89.68	$179.69	$182.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $130.13 / $130.13 / $130.13	Facility	26	$130.13	$130.13	$130.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.14 / $132.93 / $213.39	Professional	26	$80.14	$132.93	$213.39
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $76.73 / $84.07 / $167.12	Professional	26	$76.73	$84.07	$167.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.48 / $108.22 / $229.67	Professional	26	$93.48	$108.22	$229.67
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $69.62 / $69.62 / $69.62	Professional	26	$69.62	$69.62	$69.62