Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.14 / $46.02 / $183.92	Facility	26	$36.14	$46.02	$183.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.61 / $112.96 / $236.82	Professional		$81.61	$112.96	$236.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.76 / $60.76 / $162.84	Facility	26	$60.76	$60.76	$162.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.69 / $164.62 / $570.73	Professional		$83.69	$164.62	$570.73
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $60.04 / $60.04 / $60.04	Facility	26	$60.04	$60.04	$60.04
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $172.13 / $531.84	Professional		$90.08	$172.13	$531.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.51 / $81.25 / $139.72	Professional		$39.51	$81.25	$139.72
United Facility/Professional Professional Modifier Low / Median / High Price $103.31 / $147.44 / $388.91	Professional		$103.31	$147.44	$388.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $82.07 / $82.07	Professional		$82.07	$82.07	$82.07