Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.56 / $29.66 / $33.32	Facility	26	$29.56	$29.66	$33.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.44 / $65.19 / $98.92	Professional		$47.44	$65.19	$98.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.53 / $37.15 / $54.46	Professional	26	$30.53	$37.15	$54.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.27 / $47.27 / $47.27	Professional	26	$47.27	$47.27	$47.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.09 / $40.09 / $40.09	Facility	26	$40.09	$40.09	$40.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.58 / $86.28 / $167.61	Professional		$58.58	$86.28	$167.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.04 / $50.89 / $98.32	Professional	26	$32.04	$50.89	$98.32
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $45.63 / $48.92 / $77.84	Professional		$45.63	$48.92	$77.84
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $23.59 / $25.28 / $41.39	Professional	26	$23.59	$25.28	$41.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $48.19 / $87.85	Professional		$27.43	$48.19	$87.85
United Facility/Professional Professional Modifier Low / Median / High Price $46.38 / $65.19 / $122.59	Professional		$46.38	$65.19	$122.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.31 / $39.39 / $73.55	Professional	26	$27.31	$39.39	$73.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.42 / $57.42 / $57.42	Professional		$57.42	$57.42	$57.42
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $28.98 / $28.98 / $28.98	Professional	26	$28.98	$28.98	$28.98