Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.65 / $83.62 / $87.52	Facility	26	$67.65	$83.62	$87.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.88 / $410.45 / $562.74	Professional		$222.88	$410.45	$562.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.54 / $104.54 / $104.54	Facility	26	$104.54	$104.54	$104.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.18 / $435.92 / $876.49	Professional		$266.18	$435.92	$876.49
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $259.98 / $374.92	Professional		$98.52	$259.98	$374.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.93 / $314.22 / $580.05	Professional		$134.93	$314.22	$580.05
United Facility/Professional Professional Modifier Low / Median / High Price $208.46 / $351.12 / $688.68	Professional		$208.46	$351.12	$688.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.11 / $295.11 / $326.32	Professional		$295.11	$295.11	$326.32