Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.00 / $45.65 / $50.40	Facility	26	$45.00	$45.65	$50.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.80 / $336.76 / $464.38	Professional		$255.80	$336.76	$464.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.26 / $56.18 / $87.06	Professional	26	$46.26	$56.18	$87.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $283.27 / $524.99 / $624.57	Professional		$283.27	$524.99	$624.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $55.91 / $68.33 / $87.28	Professional	26	$55.91	$68.33	$87.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.88 / $63.88 / $63.88	Facility	26	$63.88	$63.88	$63.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.16 / $423.50 / $747.16	Professional		$250.16	$423.50	$747.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.68 / $74.55 / $132.87	Professional	26	$47.68	$74.55	$132.87
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $120.10 / $231.61 / $314.12	Professional		$120.10	$231.61	$314.12
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $24.17 / $40.46 / $62.64	Professional	26	$24.17	$40.46	$62.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $298.97 / $487.97	Professional		$64.62	$298.97	$487.97
United Facility/Professional Professional Modifier Low / Median / High Price $216.60 / $332.71 / $665.83	Professional		$216.60	$332.71	$665.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.77 / $61.86 / $115.28	Professional	26	$43.77	$61.86	$115.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $266.05 / $266.05 / $287.66	Professional		$266.05	$266.05	$287.66
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $42.38 / $42.38 / $45.83	Professional	26	$42.38	$42.38	$45.83