Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $66.50 / $194.74	Facility	26	$51.29	$66.50	$194.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.31 / $171.00 / $217.54	Professional		$120.31	$171.00	$217.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.15 / $113.16 / $210.22	Professional		$78.15	$113.16	$210.22
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $73.23 / $78.47 / $194.21	Professional		$73.23	$78.47	$194.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.06 / $83.14 / $136.01	Professional		$38.06	$83.14	$136.01
United Facility/Professional Professional Modifier Low / Median / High Price $95.94 / $108.23 / $174.70	Professional		$95.94	$108.23	$174.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $68.70 / $68.70	Professional		$68.70	$68.70	$68.70