Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.50 / $71.88 / $265.70	Facility	26	$62.50	$71.88	$265.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $375.00 / $550.00	Professional		$250.00	$375.00	$550.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.80 / $86.80 / $233.60	Facility	26	$86.80	$86.80	$233.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.62 / $452.68 / $875.26	Professional		$247.62	$452.68	$875.26
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $85.45 / $85.45 / $85.45	Facility	26	$85.45	$85.45	$85.45
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $283.83 / $435.90 / $597.57	Professional		$283.83	$435.90	$597.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $237.27 / $439.20	Professional		$95.09	$237.27	$439.20
United Facility/Professional Professional Modifier Low / Median / High Price $289.48 / $382.52 / $754.21	Professional		$289.48	$382.52	$754.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $241.90 / $241.90 / $241.90	Professional		$241.90	$241.90	$241.90