Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $79.43 / $239.88	Facility	26	$46.77	$79.43	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $245.47	Professional		$93.33	$138.04	$245.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $83.18 / $120.23	Facility	26	$18.20	$83.18	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $269.15	Professional		$117.49	$177.83	$269.15
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $109.65 / $169.82	Professional		$102.33	$109.65	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $125.89	Professional		$32.36	$53.70	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $257.04	Professional		$117.49	$151.36	$257.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $147.91	Professional		$93.33	$93.33	$147.91