Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $120.23 / $398.11	Facility	26	$61.66	$120.23	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $776.25	Professional		$251.19	$426.58	$776.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $125.89 / $213.80	Facility	26	$26.92	$125.89	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $371.54 / $794.33	Professional		$218.78	$371.54	$794.33
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $123.03 / $123.03	Facility	26	$123.03	$123.03	$123.03
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $354.81 / $537.03	Professional		$190.55	$354.81	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $138.04 / $331.13	Professional		$32.36	$138.04	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $645.65	Professional		$245.47	$338.84	$645.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $269.15	Professional		$213.80	$213.80	$269.15