Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.78 / $40.89 / $45.02	Facility	26	$40.78	$40.89	$45.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $109.62 / $153.94	Professional		$90.20	$109.62	$153.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.37 / $120.37 / $120.37	Professional		$120.37	$120.37	$120.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.98 / $56.98 / $56.98	Facility	26	$56.98	$56.98	$56.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.95 / $126.67 / $239.87	Professional		$81.95	$126.67	$239.87
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $38.14 / $77.52 / $111.50	Professional		$38.14	$77.52	$111.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $83.39 / $140.09	Professional		$38.71	$83.39	$140.09
United Facility/Professional Professional Modifier Low / Median / High Price $79.25 / $116.54 / $217.62	Professional		$79.25	$116.54	$217.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $84.51 / $96.98	Professional		$84.51	$84.51	$96.98