Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.27 / $54.38 / $59.72	Facility	26	$53.27	$54.38	$59.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.55 / $116.99 / $163.81	Professional		$99.55	$116.99	$163.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.30 / $65.78 / $93.19	Professional	26	$55.30	$65.78	$93.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.36 / $139.26 / $181.48	Professional		$96.36	$139.26	$181.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.20 / $80.33 / $102.59	Professional	26	$61.20	$80.33	$102.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.17 / $74.17 / $74.17	Facility	26	$74.17	$74.17	$74.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.33 / $145.07 / $250.88	Professional		$89.33	$145.07	$250.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.27 / $88.90 / $158.65	Professional	26	$56.27	$88.90	$158.65
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $53.99 / $86.29 / $132.52	Professional		$53.99	$86.29	$132.52
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $29.66 / $49.43 / $74.15	Professional	26	$29.66	$49.43	$74.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $74.14 / $134.36	Professional		$32.28	$74.14	$134.36
United Facility/Professional Professional Modifier Low / Median / High Price $91.01 / $130.19 / $231.91	Professional		$91.01	$130.19	$231.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.84 / $73.62 / $132.25	Professional	26	$51.84	$73.62	$132.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.26 / $84.26 / $99.61	Professional		$84.26	$84.26	$99.61
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $49.28 / $49.28 / $57.47	Professional	26	$49.28	$49.28	$57.47