Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.93 / $29.34 / $114.53	Facility	26	$22.93	$29.34	$114.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.89 / $51.42 / $98.03	Professional		$36.89	$51.42	$98.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.93 / $31.24 / $47.79	Professional	26	$22.93	$31.24	$47.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $55.80 / $507.78 / $512.42	Professional	50	$55.80	$507.78	$512.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.95 / $39.95 / $122.36	Facility	26	$39.95	$39.95	$122.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $79.92 / $162.75	Professional		$39.06	$79.92	$162.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.44 / $45.08 / $83.23	Professional	26	$24.44	$45.08	$83.23
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $88.33 / $88.33 / $88.33	Professional	50	$88.33	$88.33	$88.33
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $54.89 / $54.89 / $54.89	Facility	26	$54.89	$54.89	$54.89
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $96.62 / $133.01	Professional		$39.31	$96.62	$133.01
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $23.34 / $48.71 / $69.30	Professional	26	$23.34	$48.71	$69.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $47.84 / $89.32	Professional		$28.56	$47.84	$89.32
United Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $76.40 / $135.37	Professional		$49.06	$76.40	$135.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.99 / $39.24 / $68.23	Professional	26	$28.99	$39.24	$68.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $43.00 / $43.00	Professional		$43.00	$43.00	$43.00
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $26.40 / $26.40 / $26.40	Professional	26	$26.40	$26.40	$26.40