Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $36.82 / $151.71	Facility	26	$29.51	$36.82	$151.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $100.47 / $154.10	Professional		$74.34	$100.47	$154.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.75 / $49.75 / $131.58	Facility	26	$49.75	$49.75	$131.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.19 / $129.15 / $292.05	Professional		$79.19	$129.15	$292.05
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $47.90 / $47.90 / $47.90	Facility	26	$47.90	$47.90	$47.90
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $120.55 / $205.52	Professional		$77.06	$120.55	$205.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $79.18 / $139.13	Professional		$35.97	$79.18	$139.13
United Facility/Professional Professional Modifier Low / Median / High Price $82.46 / $115.51 / $234.11	Professional		$82.46	$115.51	$234.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.68 / $71.68 / $71.68	Professional		$71.68	$71.68	$71.68