Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.17 / $21.59 / $90.92	Facility	26	$17.17	$21.59	$90.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $94.67 / $203.35	Professional		$70.31	$94.67	$203.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.00 / $29.00 / $78.95	Facility	26	$29.00	$29.00	$78.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $141.69 / $533.46	Professional		$70.84	$141.69	$533.46
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $28.60 / $28.60 / $28.60	Facility	26	$28.60	$28.60	$28.60
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $77.66 / $150.84 / $500.77	Professional		$77.66	$150.84	$500.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $84.16 / $169.49	Professional		$35.74	$84.16	$169.49
United Facility/Professional Professional Modifier Low / Median / High Price $90.38 / $135.58 / $365.44	Professional		$90.38	$135.58	$365.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $70.73 / $70.73	Professional		$70.73	$70.73	$70.73