Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.87 / $84.11 / $92.85	Facility	26	$83.87	$84.11	$92.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.85 / $230.04 / $302.80	Professional		$179.85	$230.04	$302.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $192.78 / $192.78 / $192.78	Professional		$192.78	$192.78	$192.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.15 / $118.15 / $118.15	Facility	26	$118.15	$118.15	$118.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.34 / $259.70 / $485.54	Professional		$114.34	$259.70	$485.54
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $156.19 / $223.13	Professional		$74.45	$156.19	$223.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.26 / $156.66 / $298.72	Professional		$95.26	$156.66	$298.72
United Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $240.38 / $456.73	Professional		$156.72	$240.38	$456.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.54 / $169.54 / $194.75	Professional		$169.54	$169.54	$194.75