Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.16 / $30.47 / $33.29	Facility	26	$30.16	$30.47	$33.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $83.56 / $113.82	Professional		$65.31	$83.56	$113.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.54 / $37.00 / $50.96	Professional	26	$31.54	$37.00	$50.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.60 / $102.60 / $102.60	Professional		$102.60	$102.60	$102.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.37 / $50.37 / $50.37	Professional	26	$50.37	$50.37	$50.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.36 / $41.36 / $41.36	Facility	26	$41.36	$41.36	$41.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $105.48 / $179.11	Professional		$70.06	$105.48	$179.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.33 / $50.03 / $90.42	Professional	26	$31.33	$50.03	$90.42
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $53.26 / $64.67 / $90.37	Professional		$53.26	$64.67	$90.37
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $24.52 / $29.62 / $43.09	Professional	26	$24.52	$29.62	$43.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.64 / $51.65 / $134.20	Professional		$29.64	$51.65	$134.20
United Facility/Professional Professional Modifier Low / Median / High Price $62.86 / $90.35 / $159.00	Professional		$62.86	$90.35	$159.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.49 / $41.07 / $73.94	Professional	26	$28.49	$41.07	$73.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.30 / $62.30 / $67.36	Professional		$62.30	$62.30	$67.36
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $27.83 / $27.83 / $30.09	Professional	26	$27.83	$27.83	$30.09