Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.64 / $70.64 / $70.64	Facility	26	$70.64	$70.64	$70.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.26 / $86.00 / $147.65	Professional		$55.26	$86.00	$147.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.73 / $20.01 / $38.15	Professional	26	$16.73	$20.01	$38.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.85 / $40.85 / $40.85	Professional	26	$40.85	$40.85	$40.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.74 / $80.20 / $181.06	Professional		$44.74	$80.20	$181.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.27 / $22.26 / $43.14	Professional	26	$13.27	$22.26	$43.14
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $68.76 / $122.02 / $187.48	Professional		$68.76	$122.02	$187.48
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $19.57 / $29.75 / $37.36	Professional	26	$19.57	$29.75	$37.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $127.06 / $209.91	Professional		$41.48	$127.06	$209.91
United Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $81.33 / $268.26	Professional		$51.68	$81.33	$268.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.83 / $16.86 / $67.13	Professional	26	$12.83	$16.86	$67.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.21 / $39.21 / $39.21	Professional		$39.21	$39.21	$39.21
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $11.23 / $11.23 / $11.23	Professional	26	$11.23	$11.23	$11.23