Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.61 / $26.83 / $78.55	Facility	26	$15.61	$26.83	$78.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.46 / $159.40 / $228.44	Professional		$149.46	$159.40	$228.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.40 / $165.63 / $299.19	Professional		$115.40	$165.63	$299.19
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $143.01 / $151.38 / $309.02	Professional		$143.01	$151.38	$309.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $211.02 / $284.32	Professional		$86.76	$211.02	$284.32
United Facility/Professional Professional Modifier Low / Median / High Price $129.94 / $169.39 / $277.37	Professional		$129.94	$169.39	$277.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.24 / $105.24 / $105.24	Professional		$105.24	$105.24	$105.24