Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $42.66 / $45.71	Facility	26	$41.69	$42.66	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $213.80	Professional		$79.43	$97.72	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $138.04	Professional		$107.15	$107.15	$138.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $58.88 / $83.18	Facility	26	$12.59	$58.88	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $223.87	Professional		$79.43	$123.03	$223.87
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $74.13 / $123.03	Professional		$53.70	$74.13	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $52.48 / $125.89	Professional		$32.36	$52.48	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $102.33 / $190.55	Professional		$74.13	$102.33	$190.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $97.72	Professional		$67.61	$67.61	$97.72