Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.56 / $71.84 / $77.90	Facility	26	$70.56	$71.84	$77.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.62 / $148.82 / $202.42	Professional		$124.62	$148.82	$202.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $129.41 / $143.97	Professional		$110.00	$129.41	$143.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.96 / $97.96 / $97.96	Facility	26	$97.96	$97.96	$97.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.44 / $201.15 / $358.24	Professional		$130.44	$201.15	$358.24
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $68.22 / $111.63 / $167.44	Professional		$68.22	$111.63	$167.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.81 / $113.60 / $208.56	Professional		$60.81	$113.60	$208.56
United Facility/Professional Professional Modifier Low / Median / High Price $112.95 / $165.92 / $295.11	Professional		$112.95	$165.92	$295.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $121.75 / $121.75 / $125.77	Professional		$121.75	$121.75	$125.77