Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.97 / $45.48 / $172.56	Facility	26	$35.97	$45.48	$172.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.12 / $169.88 / $329.20	Professional		$156.12	$169.88	$329.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.66 / $62.66 / $62.66	Facility	26	$62.66	$62.66	$62.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.01 / $282.02 / $410.91	Professional		$188.01	$282.02	$410.91
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $162.44 / $174.04 / $277.08	Professional		$162.44	$174.04	$277.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $191.69 / $303.34	Professional		$62.75	$191.69	$303.34
United Facility/Professional Professional Modifier Low / Median / High Price $177.32 / $244.69 / $415.97	Professional		$177.32	$244.69	$415.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.87 / $136.87 / $136.87	Professional		$136.87	$136.87	$136.87