Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $123.03 / $134.90	Facility	26	$123.03	$123.03	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $363.08	Professional		$162.18	$204.17	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $371.54	Professional		$346.74	$346.74	$371.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $165.96 / $234.42	Facility	26	$35.48	$165.96	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $446.68	Professional		$154.88	$245.47	$446.68
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $158.49 / $257.04	Professional		$93.33	$158.49	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $120.23 / $302.00	Professional		$32.36	$120.23	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $380.19	Professional		$138.04	$199.53	$380.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $223.87	Professional		$141.25	$141.25	$223.87