Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.24 / $41.59 / $116.31	Facility	26	$25.24	$41.59	$116.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.67 / $86.88 / $125.14	Professional		$66.67	$86.88	$125.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.40 / $43.40 / $101.10	Facility	26	$43.40	$43.40	$101.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $96.59 / $183.34	Professional		$66.00	$96.59	$183.34
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $97.83 / $125.36	Professional		$46.18	$97.83	$125.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.32 / $80.70 / $134.73	Professional		$36.32	$80.70	$134.73
United Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $88.51 / $138.38	Professional		$78.09	$88.51	$138.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $62.92 / $62.92	Professional		$62.92	$62.92	$62.92