Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.65 / $60.41 / $228.25	Facility	26	$47.65	$60.41	$228.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.51 / $99.43 / $199.82	Professional		$94.51	$99.43	$199.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.69 / $83.69 / $83.69	Facility	26	$83.69	$83.69	$83.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $179.05 / $264.95	Professional		$115.77	$179.05	$264.95
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $105.55 / $171.11	Professional		$98.52	$105.55	$171.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $82.81 / $163.35	Professional		$52.71	$82.81	$163.35
United Facility/Professional Professional Modifier Low / Median / High Price $116.20 / $156.22 / $267.20	Professional		$116.20	$156.22	$267.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.90 / $83.90 / $83.90	Professional		$83.90	$83.90	$83.90