Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.76 / $15.89 / $17.39	Facility	26	$15.76	$15.89	$17.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $71.89 / $115.89	Professional		$53.88	$71.89	$115.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.89 / $19.19 / $27.68	Professional	26	$15.89	$19.19	$27.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.89 / $78.42 / $118.76	Professional		$77.89	$78.42	$118.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.94 / $16.94 / $30.16	Professional	26	$16.94	$16.94	$30.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.22 / $85.68 / $127.17	Professional		$53.22	$85.68	$127.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.24 / $23.56 / $36.26	Professional	26	$15.24	$23.56	$36.26
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $21.43 / $44.86 / $75.54	Professional		$21.43	$44.86	$75.54
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $8.65 / $17.29 / $22.05	Professional	26	$8.65	$17.29	$22.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $71.34 / $110.23	Professional		$49.10	$71.34	$110.23
United Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $67.78 / $124.67	Professional		$40.09	$67.78	$124.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.33 / $20.34 / $33.08	Professional	26	$14.33	$20.34	$33.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.17 / $56.17 / $60.73	Professional		$56.17	$56.17	$60.73
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $14.55 / $14.55 / $15.74	Professional	26	$14.55	$14.55	$15.74