Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.44 / $38.54 / $44.88	Facility	26	$37.44	$38.54	$44.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $229.64 / $332.97	Professional		$170.35	$229.64	$332.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.44 / $52.96 / $69.39	Professional	26	$37.44	$52.96	$69.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $511.88 / $511.88 / $511.88	Professional		$511.88	$511.88	$511.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $84.93 / $84.93 / $84.93	Professional	26	$84.93	$84.93	$84.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.41 / $60.41 / $156.65	Facility	26	$60.41	$60.41	$156.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.34 / $289.70 / $473.12	Professional		$205.34	$289.70	$473.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.01 / $70.47 / $108.87	Professional	26	$44.01	$70.47	$108.87
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $126.68 / $221.49 / $357.68	Professional		$126.68	$221.49	$357.68
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $30.97 / $45.90 / $64.22	Professional	26	$30.97	$45.90	$64.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.42 / $255.09 / $453.88	Professional		$60.42	$255.09	$453.88
United Facility/Professional Professional Modifier Low / Median / High Price $176.78 / $253.02 / $451.99	Professional		$176.78	$253.02	$451.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.53 / $61.14 / $108.32	Professional	26	$42.53	$61.14	$108.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $222.35 / $222.35 / $222.35	Professional		$222.35	$222.35	$222.35
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $36.60 / $36.60 / $36.60	Professional	26	$36.60	$36.60	$36.60