Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.47 / $49.75 / $54.91	Facility	26	$49.47	$49.75	$54.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.03 / $135.84 / $186.00	Professional		$107.03	$135.84	$186.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.96 / $198.96 / $198.96	Professional		$198.96	$198.96	$198.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.97 / $69.97 / $69.97	Facility	26	$69.97	$69.97	$69.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $151.61 / $280.29	Professional		$92.55	$151.61	$280.29
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $45.88 / $89.66 / $125.93	Professional		$45.88	$89.66	$125.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.47 / $86.52 / $168.04	Professional		$56.47	$86.52	$168.04
United Facility/Professional Professional Modifier Low / Median / High Price $91.95 / $136.86 / $256.45	Professional		$91.95	$136.86	$256.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.75 / $95.75 / $106.65	Professional		$95.75	$95.75	$106.65