Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $197.68 / $197.68 / $197.68	Facility	26	$197.68	$197.68	$197.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.50 / $362.77 / $604.77	Professional		$219.50	$362.77	$604.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.47 / $61.05 / $191.70	Professional	26	$46.47	$61.05	$191.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $70.03 / $86.47 / $118.27	Professional	26	$70.03	$86.47	$118.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.42 / $337.96 / $692.92	Professional		$178.42	$337.96	$692.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.38 / $63.10 / $123.38	Professional	26	$37.38	$63.10	$123.38
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $241.26 / $518.49 / $1,098.88	Professional		$241.26	$518.49	$1,098.88
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $53.59 / $86.23 / $107.78	Professional	26	$53.59	$86.23	$107.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.45 / $405.32 / $629.11	Professional		$102.45	$405.32	$629.11
United Facility/Professional Professional Modifier Low / Median / High Price $179.33 / $329.64 / $1,043.67	Professional		$179.33	$329.64	$1,043.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.22 / $47.24 / $189.31	Professional	26	$36.22	$47.24	$189.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.56 / $376.81 / $376.81	Professional		$169.56	$376.81	$376.81
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $25.85 / $57.44 / $57.44	Professional	26	$25.85	$57.44	$57.44