Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $12.88 / $104.71	Facility		$4.27	$12.88	$104.71
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $18.62 / $54.95	Facility	26	$12.88	$18.62	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $38.02 / $61.66	Professional		$12.88	$38.02	$61.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $43.65 / $128.82	Professional	26	$15.85	$43.65	$128.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $43.65 / $77.62	Professional	26	$23.44	$43.65	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $13.80 / $16.22	Facility		$4.17	$13.80	$16.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $43.65 / $70.79	Facility	26	$10.47	$43.65	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $40.74	Professional	26	$40.74	$40.74	$40.74
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.36 / $53.70	Professional		$20.89	$32.36	$53.70
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $30.90 / $43.65	Professional	26	$19.05	$30.90	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $2.63 / $12.59	Facility		$1.38	$2.63	$12.59
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $22.91 / $51.29	Professional		$15.49	$22.91	$51.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $22.39 / $50.12	Professional	26	$15.14	$22.39	$50.12
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $7.41 / $7.41	Professional	26	$7.41	$7.41	$7.41