Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.77 / $92.97 / $291.22	Facility	26	$55.77	$92.97	$291.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.15 / $103.73 / $194.54	Professional		$88.15	$103.73	$194.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.29 / $102.29 / $127.87	Professional		$102.29	$102.29	$127.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.47 / $95.47 / $95.47	Facility	26	$95.47	$95.47	$95.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.29 / $148.15 / $247.80	Professional		$93.29	$148.15	$247.80
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $89.51 / $108.14 / $209.08	Professional		$89.51	$108.14	$209.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.96 / $104.44 / $167.94	Professional		$57.96	$104.44	$167.94
United Facility/Professional Professional Modifier Low / Median / High Price $106.65 / $130.94 / $239.25	Professional		$106.65	$130.94	$239.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $82.07 / $82.07	Professional		$82.07	$82.07	$82.07