Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.50 / $50.31 / $183.66	Facility	26	$40.50	$50.31	$183.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.58 / $170.43 / $238.72	Professional		$94.58	$170.43	$238.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.68 / $121.68 / $121.68	Professional		$121.68	$121.68	$121.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $161.72 / $398.67	Professional		$74.09	$161.72	$398.67
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $173.40 / $185.79 / $326.79	Professional		$173.40	$185.79	$326.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $214.02 / $339.07	Professional		$68.34	$214.02	$339.07
United Facility/Professional Professional Modifier Low / Median / High Price $83.65 / $161.62 / $534.85	Professional		$83.65	$161.62	$534.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.51 / $105.51 / $105.51	Professional		$105.51	$105.51	$105.51