Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.36 / $93.73 / $378.17	Facility	26	$73.36	$93.73	$378.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.36 / $84.65 / $152.19	Professional	26	$73.36	$84.65	$152.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $85.21 / $143.09 / $174.58	Professional	26	$85.21	$143.09	$174.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.44 / $124.44 / $124.44	Facility	26	$124.44	$124.44	$124.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.36 / $110.69 / $199.46	Professional	26	$77.36	$110.69	$199.46
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $74.56 / $79.88 / $140.50	Professional	26	$74.56	$79.88	$140.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.46 / $99.06 / $188.64	Professional	26	$89.46	$99.06	$188.64
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $69.22 / $69.22 / $69.22	Professional	26	$69.22	$69.22	$69.22