Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.25 / $18.69 / $77.13	Facility	26	$16.25	$18.69	$77.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $50.52 / $70.56	Professional		$39.89	$50.52	$70.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.43 / $28.43 / $28.43	Facility	26	$28.43	$28.43	$28.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $61.46 / $120.97	Professional		$42.12	$61.46	$120.97
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $26.89 / $26.89 / $26.89	Facility	26	$26.89	$26.89	$26.89
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $38.88 / $58.60 / $80.78	Professional		$38.88	$58.60	$80.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $38.30 / $67.28	Professional		$28.46	$38.30	$67.28
United Facility/Professional Professional Modifier Low / Median / High Price $44.87 / $50.30 / $91.13	Professional		$44.87	$50.30	$91.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.14 / $49.14 / $49.14	Professional		$49.14	$49.14	$49.14