Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.38 / $24.95 / $79.14	Facility	26	$15.38	$24.95	$79.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.02 / $131.93 / $185.46	Professional		$124.02	$131.93	$185.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.91 / $25.91 / $25.91	Facility	26	$25.91	$25.91	$25.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.51 / $206.83 / $329.96	Professional		$124.51	$206.83	$329.96
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $116.10 / $131.65 / $261.68	Professional		$116.10	$131.65	$261.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.61 / $167.00 / $289.82	Professional		$95.61	$167.00	$289.82
United Facility/Professional Professional Modifier Low / Median / High Price $133.69 / $163.94 / $313.27	Professional		$133.69	$163.94	$313.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $119.55 / $119.55 / $119.55	Professional		$119.55	$119.55	$119.55