Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.89 / $17.14 / $19.41	Facility	26	$16.89	$17.14	$19.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $41.61 / $62.51	Professional		$28.35	$41.61	$62.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.14 / $21.35 / $27.85	Professional	26	$17.14	$21.35	$27.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.34 / $18.34 / $18.34	Professional	26	$18.34	$18.34	$18.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.51 / $23.51 / $23.51	Facility	26	$23.51	$23.51	$23.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $56.65 / $109.60	Professional		$38.29	$56.65	$109.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.59 / $28.98 / $56.84	Professional	26	$18.59	$28.98	$56.84
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $34.67 / $56.43	Professional		$29.62	$34.67	$56.43
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $13.81 / $14.79 / $25.12	Professional	26	$13.81	$14.79	$25.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $35.63 / $63.31	Professional		$24.06	$35.63	$63.31
United Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $40.77 / $76.84	Professional		$27.43	$40.77	$76.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.07 / $22.72 / $42.56	Professional	26	$16.07	$22.72	$42.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $36.10 / $36.10	Professional		$36.10	$36.10	$36.10
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $14.58 / $14.58 / $14.58	Professional	26	$14.58	$14.58	$14.58