Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $72.44	Facility	26	$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $102.33 / $194.98	Professional		$56.23	$102.33	$194.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $24.55 / $338.84	Professional	26	$18.20	$24.55	$338.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $41.69 / $41.69	Professional	26	$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $75.86 / $190.55	Professional		$44.67	$75.86	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $22.39 / $43.65	Professional	26	$13.18	$22.39	$43.65
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $128.82 / $245.47	Professional		$69.18	$128.82	$245.47
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $30.20 / $48.98	Professional	26	$19.50	$30.20	$48.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $34.67	Professional		$32.36	$33.11	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $257.04	Professional		$51.29	$79.43	$257.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $16.98 / $66.07	Professional	26	$12.88	$16.98	$66.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $11.22 / $11.22	Professional	26	$11.22	$11.22	$11.22