Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.70 / $66.77 / $70.05	Facility	26	$62.70	$66.77	$70.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.38 / $194.40 / $289.14	Professional		$160.38	$194.40	$289.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.25 / $279.79 / $419.12	Professional		$181.25	$279.79	$419.12
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $136.37 / $146.11 / $257.00	Professional		$136.37	$146.11	$257.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.26 / $152.05 / $291.62	Professional		$95.26	$152.05	$291.62
United Facility/Professional Professional Modifier Low / Median / High Price $169.19 / $253.91 / $425.25	Professional		$169.19	$253.91	$425.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Professional		$158.56	$158.56	$158.56