Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.36 / $32.11 / $159.57	Facility	26	$25.36	$32.11	$159.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $62.48 / $161.71	Professional		$46.56	$62.48	$161.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.74 / $43.74 / $203.43	Facility	26	$43.74	$43.74	$203.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $132.12 / $240.22	Professional		$47.17	$132.12	$240.22
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $143.59 / $143.59 / $143.59	Professional	50	$143.59	$143.59	$143.59
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $91.70 / $91.70 / $91.70	Facility	26	$91.70	$91.70	$91.70
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $157.96 / $219.39	Professional		$47.57	$157.96	$219.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $50.20 / $91.80	Professional		$30.18	$50.20	$91.80
United Facility/Professional Professional Modifier Low / Median / High Price $71.27 / $118.78 / $199.27	Professional		$71.27	$118.78	$199.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $67.63 / $67.63	Professional		$67.63	$67.63	$67.63