Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $60.41 / $228.25	Facility	26	$47.86	$60.41	$228.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.30 / $244.16 / $442.89	Professional		$230.30	$244.16	$442.89
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 $281.08 / $429.19 / $631.90	Professional		$281.08	$429.19	$631.90
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $238.52 / $255.56 / $419.67	Professional		$238.52	$255.56	$419.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.17 / $290.53 / $473.90	Professional		$63.17	$290.53	$473.90
United Facility/Professional Professional Modifier Low / Median / High Price $277.72 / $374.85 / $639.54	Professional		$277.72	$374.85	$639.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $214.38 / $214.38 / $214.38	Professional		$214.38	$214.38	$214.38