Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $154.88 / $776.25	Facility	26	$61.66	$154.88	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $676.08	Professional		$251.19	$398.11	$676.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $87.10 / $147.91	Facility	26	$18.62	$87.10	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $407.38 / $870.96	Professional		$199.53	$407.38	$870.96
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $87.10 / $87.10	Facility	26	$87.10	$87.10	$87.10
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $363.08 / $575.44	Professional		$190.55	$363.08	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $102.33 / $346.74	Professional		$32.36	$102.33	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $707.95	Professional		$239.88	$363.08	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $257.04	Professional		$208.93	$208.93	$257.04