Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.80 / $19.45 / $78.42	Facility	26	$15.80	$19.45	$78.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.80 / $73.84 / $108.66	Professional		$56.80	$73.84	$108.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.82 / $25.82 / $69.48	Facility	26	$25.82	$25.82	$69.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.35 / $86.30 / $169.73	Professional		$56.35	$86.30	$169.73
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $25.35 / $25.35 / $25.35	Facility	26	$25.35	$25.35	$25.35
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $52.84 / $96.50 / $135.09	Professional		$52.84	$96.50	$135.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $67.79 / $113.14	Professional		$40.21	$67.79	$113.14
United Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $81.15 / $160.07	Professional		$59.63	$81.15	$160.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.72 / $58.72 / $58.72	Professional		$58.72	$58.72	$58.72