Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $39.81 / $158.49	Facility	26	$30.20	$39.81	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $524.81	Professional		$245.47	$323.59	$524.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $51.29 / $89.13	Facility	26	$10.96	$51.29	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $794.33	Professional		$251.19	$398.11	$794.33
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $51.29 / $51.29	Facility	26	$51.29	$51.29	$51.29
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $537.03	Professional		$234.42	$363.08	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $177.83 / $489.78	Professional		$32.36	$177.83	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $676.08	Professional		$302.00	$354.81	$676.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $338.84	Professional		$257.04	$257.04	$338.84