Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $315.02 / $347.76 / $458.83	Facility	26	$315.02	$347.76	$458.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.66 / $1,260.18 / $1,994.84	Professional		$975.66	$1,260.18	$1,994.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $329.90 / $390.38 / $667.99	Professional	26	$329.90	$390.38	$667.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,040.39 / $1,040.39 / $1,144.43	Professional		$1,040.39	$1,040.39	$1,144.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $342.56 / $376.82 / $552.53	Professional	26	$342.56	$376.82	$552.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,089.31 / $1,621.99 / $2,786.05	Professional		$1,089.31	$1,621.99	$2,786.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $344.75 / $520.09 / $902.08	Professional	26	$344.75	$520.09	$902.08
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $783.09 / $839.03 / $1,692.06	Professional		$783.09	$839.03	$1,692.06
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $257.83 / $276.26 / $557.14	Professional	26	$257.83	$276.26	$557.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $346.85 / $899.56 / $1,440.78	Professional		$346.85	$899.56	$1,440.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,092.86 / $1,532.62 / $2,709.82	Professional		$1,092.86	$1,532.62	$2,709.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $345.95 / $498.83 / $887.72	Professional	26	$345.95	$498.83	$887.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $907.93 / $907.93 / $907.93	Professional		$907.93	$907.93	$907.93
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $278.56 / $278.56 / $278.56	Professional	26	$278.56	$278.56	$278.56