Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.39 / $44.09 / $181.72	Facility	26	$35.39	$44.09	$181.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.75 / $141.44 / $264.49	Professional		$93.75	$141.44	$264.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.33 / $59.33 / $160.88	Facility	26	$59.33	$59.33	$160.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.75 / $190.78 / $584.41	Professional		$98.75	$190.78	$584.41
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $59.31 / $59.31 / $59.31	Facility	26	$59.31	$59.31	$59.31
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $101.81 / $199.41 / $531.28	Professional		$101.81	$199.41	$531.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.45 / $112.91 / $191.87	Professional		$38.45	$112.91	$191.87
United Facility/Professional Professional Modifier Low / Median / High Price $118.66 / $177.36 / $425.23	Professional		$118.66	$177.36	$425.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.13 / $95.13 / $95.13	Professional		$95.13	$95.13	$95.13