Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $19.95 / $151.36	Facility	26	$8.91	$19.95	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $125.89	Professional		$61.66	$81.28	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $12.88 / $27.54	Professional	26	$9.77	$12.88	$27.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.72 / $17.38 / $29.51	Facility	26	$3.72	$17.38	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $173.78	Professional		$57.54	$83.18	$173.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $16.60 / $33.11	Professional	26	$10.47	$16.60	$33.11
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $16.98 / $16.98	Facility	26	$16.98	$16.98	$16.98
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $74.13 / $117.49	Professional		$57.54	$74.13	$117.49
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $15.14 / $22.39	Professional	26	$10.96	$15.14	$22.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $34.67 / $100.00	Professional		$8.51	$34.67	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $74.13 / $134.90	Professional		$56.23	$74.13	$134.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $13.49 / $25.70	Professional	26	$11.75	$13.49	$25.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $97.72	Professional		$50.12	$50.12	$97.72
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $7.41 / $15.49	Professional	26	$7.41	$7.41	$15.49