Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.45 / $23.20 / $93.19	Facility	26	$18.45	$23.20	$93.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.71 / $110.26 / $164.39	Professional		$86.71	$110.26	$164.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.72 / $30.72 / $82.92	Facility	26	$30.72	$30.72	$82.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.11 / $113.59 / $233.00	Professional		$80.11	$113.59	$233.00
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $30.33 / $30.33 / $30.33	Facility	26	$30.33	$30.33	$30.33
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $83.13 / $108.07 / $160.13	Professional		$83.13	$108.07	$160.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $110.71 / $190.97	Professional		$35.83	$110.71	$190.97
United Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $104.26 / $216.91	Professional		$78.31	$104.26	$216.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.47 / $67.47 / $67.47	Professional		$67.47	$67.47	$67.47