Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.65 / $15.65 / $17.27	Facility	26	$15.65	$15.65	$17.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.29 / $69.73 / $93.82	Professional		$52.29	$69.73	$93.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.86 / $18.79 / $25.57	Professional	26	$15.86	$18.79	$25.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.60 / $24.60 / $35.53	Professional	26	$24.60	$24.60	$35.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.15 / $81.25 / $124.47	Professional		$51.15	$81.25	$124.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.26 / $23.56 / $37.09	Professional	26	$15.26	$23.56	$37.09
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $44.04 / $70.12	Professional		$22.56	$44.04	$70.12
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $8.97 / $17.93 / $22.10	Professional	26	$8.97	$17.93	$22.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $55.57 / $93.04	Professional		$29.56	$55.57	$93.04
United Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $66.27 / $118.50	Professional		$40.22	$66.27	$118.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.40 / $20.63 / $33.46	Professional	26	$14.40	$20.63	$33.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.09 / $52.09 / $58.33	Professional		$52.09	$52.09	$58.33
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $14.55 / $14.55 / $15.94	Professional	26	$14.55	$14.55	$15.94