Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $75.86 / $3,467.37	Facility	26	$53.70	$75.86	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $398.11	Professional		$138.04	$173.78	$398.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $81.28 / $229.09	Professional	26	$61.66	$81.28	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $218.78	Professional		$131.83	$154.88	$218.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $117.49 / $131.83	Professional	26	$75.86	$117.49	$131.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.22 / $75.86 / $131.83	Facility	26	$16.22	$75.86	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $338.84	Professional		$134.90	$194.98	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $87.10 / $144.54	Professional	26	$61.66	$87.10	$144.54
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $138.04 / $194.98	Professional		$77.62	$138.04	$194.98
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $64.57 / $85.11	Professional	26	$33.88	$64.57	$85.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $79.43 / $190.55	Professional		$32.36	$79.43	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $263.03	Professional		$117.49	$158.49	$263.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $70.79 / $117.49	Professional	26	$51.29	$70.79	$117.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $169.82	Professional		$120.23	$120.23	$169.82
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $51.29 / $69.18	Professional	26	$51.29	$51.29	$69.18