Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.56 / $37.09 / $149.46	Facility	26	$30.56	$37.09	$149.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.92 / $321.74 / $455.14	Professional		$247.92	$321.74	$455.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.82 / $51.82 / $139.63	Facility	26	$51.82	$51.82	$139.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.88 / $432.78 / $768.79	Professional		$245.88	$432.78	$768.79
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $51.15 / $51.15 / $51.15	Facility	26	$51.15	$51.15	$51.15
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $243.85 / $429.52 / $563.75	Professional		$243.85	$429.52	$563.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.06 / $327.74 / $543.78	Professional		$38.06	$327.74	$543.78
United Facility/Professional Professional Modifier Low / Median / High Price $304.61 / $342.63 / $697.80	Professional		$304.61	$342.63	$697.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $232.99 / $232.99 / $232.99	Professional		$232.99	$232.99	$232.99