Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $25.12 / $234.42	Facility	26	$15.14	$25.12	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $316.23	Professional		$138.04	$186.21	$316.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.50 / $25.12 / $36.31	Facility	26	$5.50	$25.12	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $309.03	Professional		$123.03	$165.96	$309.03
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $162.18 / $208.93	Professional		$154.88	$162.18	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $33.11 / $186.21	Professional		$14.45	$33.11	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $288.40	Professional		$125.89	$173.78	$288.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82