Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $56.23 / $234.42	Facility	26	$44.67	$56.23	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $478.63	Professional		$151.36	$208.93	$478.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $77.62 / $112.20	Facility	26	$16.60	$77.62	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $309.03 / $501.19	Professional		$158.49	$309.03	$501.19
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $77.62 / $77.62	Facility	26	$77.62	$77.62	$77.62
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $363.08	Professional		$144.54	$234.42	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $107.15 / $275.42	Professional		$32.36	$107.15	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $416.87 / $891.25	Professional		$190.55	$416.87	$891.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $208.93	Professional		$165.96	$165.96	$208.93