Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.28 / $35.33 / $141.86	Facility	26	$27.28	$35.33	$141.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $89.84 / $134.32	Professional		$70.20	$89.84	$134.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.28 / $35.95 / $53.83	Professional	26	$27.28	$35.95	$53.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.27 / $47.27 / $121.55	Facility	26	$47.27	$47.27	$121.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $105.72 / $211.73	Professional		$70.98	$105.72	$211.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.88 / $46.88 / $82.95	Professional	26	$28.88	$46.88	$82.95
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $44.03 / $44.03 / $44.03	Facility	26	$44.03	$44.03	$44.03
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $72.92 / $111.34 / $140.63	Professional		$72.92	$111.34	$140.63
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $28.81 / $47.54 / $57.79	Professional	26	$28.81	$47.54	$57.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $77.53 / $136.38	Professional		$38.81	$77.53	$136.38
United Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $91.17 / $186.25	Professional		$72.23	$91.17	$186.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.07 / $37.64 / $79.06	Professional	26	$32.07	$37.64	$79.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.48 / $92.48 / $92.48	Professional		$92.48	$92.48	$92.48
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $34.51 / $34.51 / $34.51	Professional	26	$34.51	$34.51	$34.51