Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $23.99 / $95.50	Facility	26	$19.05	$23.99	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $141.25	Professional		$63.10	$81.28	$141.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.92 / $32.36 / $45.71	Facility	26	$6.92	$32.36	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $194.98	Professional		$64.57	$100.00	$194.98
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $31.62 / $31.62	Facility	26	$31.62	$31.62	$31.62
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $131.83	Professional		$63.10	$87.10	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $107.15	Professional		$32.36	$33.11	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $151.36	Professional		$72.44	$85.11	$151.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $89.13	Professional		$75.86	$75.86	$89.13