Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.23 / $26.34 / $29.08	Facility	26	$26.23	$26.34	$29.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.01 / $90.05 / $108.54	Professional		$79.01	$90.05	$108.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.24 / $31.69 / $39.51	Professional	26	$28.24	$31.69	$39.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.01 / $76.01 / $101.73	Professional		$76.01	$76.01	$101.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.70 / $27.12 / $40.24	Professional	26	$21.70	$27.12	$40.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.04 / $36.04 / $96.70	Facility	26	$36.04	$36.04	$96.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $115.28 / $184.19	Professional		$78.73	$115.28	$184.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.10 / $41.73 / $66.90	Professional	26	$28.10	$41.73	$66.90
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $83.53 / $109.42	Professional		$39.61	$83.53	$109.42
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $13.89 / $29.81 / $38.67	Professional	26	$13.89	$29.81	$38.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.51 / $77.96 / $129.12	Professional		$35.51	$77.96	$129.12
United Facility/Professional Professional Modifier Low / Median / High Price $69.66 / $93.31 / $150.03	Professional		$69.66	$93.31	$150.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.70 / $34.04 / $54.86	Professional	26	$24.70	$34.04	$54.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.43 / $68.43 / $83.53	Professional		$68.43	$68.43	$83.53
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $23.75 / $23.75 / $29.81	Professional	26	$23.75	$23.75	$29.81