Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.50 / $120.22 / $381.21	Facility	26	$62.50	$120.22	$381.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $386.51 / $550.00	Professional		$250.00	$386.51	$550.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $334.94	Facility	26	$125.89	$125.89	$334.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.25 / $393.00 / $772.33	Professional		$210.25	$393.00	$772.33
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $122.05 / $122.05 / $122.05	Facility	26	$122.05	$122.05	$122.05
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $232.85 / $374.22 / $552.55	Professional		$232.85	$374.22	$552.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.12 / $182.70 / $337.96	Professional		$95.12	$182.70	$337.96
United Facility/Professional Professional Modifier Low / Median / High Price $244.77 / $332.64 / $658.25	Professional		$244.77	$332.64	$658.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $196.74 / $196.74 / $196.74	Professional		$196.74	$196.74	$196.74