Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.45 / $46.26 / $187.24	Facility	26	$36.45	$46.26	$187.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.97 / $116.05 / $232.40	Professional		$85.97	$116.05	$232.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.73 / $60.73 / $163.85	Facility	26	$60.73	$60.73	$163.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.36 / $171.78 / $568.33	Professional		$87.36	$171.78	$568.33
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $59.78 / $59.78 / $59.78	Facility	26	$59.78	$59.78	$59.78
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $94.06 / $178.78 / $531.63	Professional		$94.06	$178.78	$531.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $85.68 / $172.51	Professional		$38.71	$85.68	$172.51
United Facility/Professional Professional Modifier Low / Median / High Price $109.32 / $163.98 / $404.92	Professional		$109.32	$163.98	$404.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $81.62 / $81.62	Professional		$81.62	$81.62	$81.62