Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.98 / $23.05 / $97.55	Facility	26	$18.98	$23.05	$97.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.04 / $105.72 / $165.46	Professional		$87.04	$105.72	$165.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.07 / $31.07 / $83.88	Facility	26	$31.07	$31.07	$83.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $114.43 / $233.50	Professional		$77.30	$114.43	$233.50
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $30.06 / $30.06 / $30.06	Facility	26	$30.06	$30.06	$30.06
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $116.18 / $156.68	Professional		$80.59	$116.18	$156.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $110.28 / $190.97	Professional		$35.81	$110.28	$190.97
United Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $106.18 / $214.61	Professional		$78.17	$106.18	$214.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.81 / $59.81 / $59.81	Professional		$59.81	$59.81	$59.81