Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.76 / $75.69 / $105.44	Facility	26	$73.76	$75.69	$105.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.48 / $163.25 / $269.12	Professional		$125.48	$163.25	$269.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.80 / $154.01 / $315.68	Professional		$143.80	$154.01	$315.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.91 / $102.91 / $102.91	Facility	26	$102.91	$102.91	$102.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.79 / $215.37 / $424.90	Professional		$140.79	$215.37	$424.90
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $78.03 / $115.97 / $187.00	Professional		$78.03	$115.97	$187.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.62 / $115.92 / $215.42	Professional		$62.62	$115.92	$215.42
United Facility/Professional Professional Modifier Low / Median / High Price $117.90 / $164.47 / $310.27	Professional		$117.90	$164.47	$310.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.62 / $125.62 / $125.62	Professional		$125.62	$125.62	$125.62