Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $93.33 / $302.00	Facility	26	$54.95	$93.33	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $257.04	Professional		$87.10	$125.89	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $95.50 / $134.90	Facility	26	$20.42	$95.50	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $147.91 / $263.03	Professional		$93.33	$147.91	$263.03
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $102.33 / $213.80	Professional		$91.20	$102.33	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $134.90	Professional		$32.36	$57.54	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $229.09	Professional		$107.15	$131.83	$229.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $128.82	Professional		$91.20	$91.20	$128.82