Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $15.07 / $46.21	Facility		$12.28	$15.07	$46.21
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.96 / $17.89 / $137.83	Facility	26	$13.96	$17.89	$137.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $17.89 / $49.05	Professional		$12.28	$17.89	$49.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.96 / $17.89 / $45.76	Professional	26	$13.96	$17.89	$45.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $45.79 / $45.79	Professional		$45.79	$45.79	$45.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.88 / $61.00 / $70.84	Professional	26	$42.88	$61.00	$70.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.16 / $12.16 / $14.73	Facility		$4.16	$12.16	$14.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $43.45 / $43.45	Professional		$43.45	$43.45	$43.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.47 / $40.47 / $40.47	Professional	26	$40.47	$40.47	$40.47
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $32.58 / $55.57	Professional		$19.46	$32.58	$55.57
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $18.07 / $30.33 / $51.74	Professional	26	$18.07	$30.33	$51.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $69.51 / $94.12	Professional		$35.81	$69.51	$94.12
United Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $2.63	Facility		$2.63	$2.63	$2.63
United Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $22.60 / $55.02	Professional		$15.70	$22.60	$55.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.30 / $22.87 / $57.08	Professional	26	$15.30	$22.87	$57.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.69 / $47.69 / $47.69	Professional		$47.69	$47.69	$47.69
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.49 / $7.49 / $7.49	Professional	26	$7.49	$7.49	$7.49