Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $134.90 / $933.25	Facility	26	$66.07	$134.90	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $338.84	Professional		$169.82	$204.17	$338.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $114.82 / $194.98	Facility	26	$24.55	$114.82	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $467.74	Professional		$147.91	$218.78	$467.74
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $199.53 / $316.23	Professional		$83.18	$199.53	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $81.28 / $190.55	Professional		$32.36	$81.28	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $309.03	Professional		$154.88	$194.98	$309.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $288.40	Professional		$89.13	$128.82	$288.40