Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $33.88 / $37.15	Facility	26	$33.11	$33.88	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $79.43 / $177.83	Professional		$56.23	$79.43	$177.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $47.86 / $107.15	Professional	26	$37.15	$47.86	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $85.11 / $93.33	Professional		$75.86	$85.11	$93.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $53.70 / $53.70	Professional	26	$53.70	$53.70	$53.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $46.77 / $66.07	Facility	26	$10.00	$46.77	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $190.55	Professional		$64.57	$95.50	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $58.88 / $120.23	Professional	26	$38.02	$58.88	$120.23
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $54.95 / $79.43	Professional		$28.18	$54.95	$79.43
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $30.20 / $46.77	Professional	26	$18.62	$30.20	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $131.83	Professional		$51.29	$70.79	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $45.71 / $83.18	Professional	26	$32.36	$45.71	$83.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $74.13	Professional		$63.10	$63.10	$74.13
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $33.88 / $40.74	Professional	26	$33.88	$33.88	$40.74