Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $20.20 / $22.30	Facility	26	$19.95	$20.20	$22.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.46 / $122.15 / $161.30	Professional		$107.46	$122.15	$161.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.75 / $22.69 / $29.81	Professional	26	$20.75	$22.69	$29.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.77 / $137.35 / $137.35	Professional		$124.77	$137.35	$137.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.14 / $21.08 / $53.28	Professional	26	$20.14	$21.08	$53.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.72 / $26.72 / $26.72	Facility	26	$26.72	$26.72	$26.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.90 / $198.58 / $346.07	Professional		$130.90	$198.58	$346.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $33.79 / $59.57	Professional	26	$21.88	$33.79	$59.57
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $93.91 / $121.43 / $221.54	Professional		$93.91	$121.43	$221.54
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $15.87 / $22.29 / $37.52	Professional	26	$15.87	$22.29	$37.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $123.56 / $198.00	Professional		$36.17	$123.56	$198.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.97 / $167.98 / $296.58	Professional		$118.97	$167.98	$296.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.43 / $30.15 / $53.67	Professional	26	$20.43	$30.15	$53.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.56 / $110.56 / $110.56	Professional		$110.56	$110.56	$110.56
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $17.36 / $17.36 / $17.36	Professional	26	$17.36	$17.36	$17.36