Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.61 / $17.11 / $69.98	Facility	26	$13.61	$17.11	$69.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.76 / $128.52 / $180.61	Professional		$120.76	$128.52	$180.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.86 / $22.86 / $22.86	Facility	26	$22.86	$22.86	$22.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.87 / $190.50 / $308.55	Professional		$120.87	$190.50	$308.55
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $113.05 / $123.82 / $254.06	Professional		$113.05	$123.82	$254.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.77 / $166.30 / $285.61	Professional		$88.77	$166.30	$285.61
United Facility/Professional Professional Modifier Low / Median / High Price $120.33 / $156.59 / $307.08	Professional		$120.33	$156.59	$307.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.53 / $105.53 / $105.53	Professional		$105.53	$105.53	$105.53