Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $60.26 / $194.98	Facility	26	$36.31	$60.26	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $354.81	Professional		$81.28	$112.20	$354.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $60.26 / $104.71	Facility	26	$12.88	$60.26	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $158.49 / $549.54	Professional		$85.11	$158.49	$549.54
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $60.26 / $60.26	Facility	26	$60.26	$60.26	$60.26
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $457.09	Professional		$87.10	$144.54	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $56.23 / $138.04	Professional		$32.36	$56.23	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $416.87	Professional		$102.33	$147.91	$416.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $120.23	Professional		$91.20	$91.20	$120.23