Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.78 / $28.78 / $32.08	Facility	26	$28.78	$28.78	$32.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.78 / $152.90 / $308.48	Professional		$121.78	$152.90	$308.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.69 / $263.69 / $263.69	Professional		$263.69	$263.69	$263.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.51 / $40.51 / $105.69	Facility	26	$40.51	$40.51	$105.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $188.98 / $330.92	Professional		$115.97	$188.98	$330.92
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $38.33 / $38.33 / $38.33	Facility	26	$38.33	$38.33	$38.33
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $98.13 / $141.18 / $209.56	Professional		$98.13	$141.18	$209.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $129.81 / $231.31	Professional		$37.44	$129.81	$231.31
United Facility/Professional Professional Modifier Low / Median / High Price $109.67 / $162.44 / $297.33	Professional		$109.67	$162.44	$297.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $115.92 / $115.92 / $115.92	Professional		$115.92	$115.92	$115.92