Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $281.47 / $310.70 / $413.06	Facility	26	$281.47	$310.70	$413.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.58 / $1,146.01 / $1,777.48	Professional		$904.58	$1,146.01	$1,777.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $294.74 / $339.57 / $582.22	Professional	26	$294.74	$339.57	$582.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $305.31 / $305.31 / $492.44	Professional	26	$305.31	$305.31	$492.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $991.16 / $1,465.62 / $2,603.57	Professional		$991.16	$1,465.62	$2,603.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $307.94 / $464.58 / $810.65	Professional	26	$307.94	$464.58	$810.65
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $705.46 / $755.85 / $1,524.31	Professional		$705.46	$755.85	$1,524.31
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $229.80 / $246.21 / $496.54	Professional	26	$229.80	$246.21	$496.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $311.65 / $795.21 / $1,276.43	Professional		$311.65	$795.21	$1,276.43
United Facility/Professional Professional Modifier Low / Median / High Price $995.13 / $1,384.94 / $2,403.64	Professional		$995.13	$1,384.94	$2,403.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $297.29 / $435.06 / $773.30	Professional	26	$297.29	$435.06	$773.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $818.31 / $818.31 / $818.31	Professional		$818.31	$818.31	$818.31
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $248.43 / $248.43 / $248.43	Professional	26	$248.43	$248.43	$248.43