Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.97 / $39.58 / $152.18	Facility	26	$31.97	$39.58	$152.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.22 / $364.97 / $521.51	Professional		$275.22	$364.97	$521.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.81 / $55.81 / $155.10	Facility	26	$55.81	$55.81	$155.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.36 / $509.31 / $901.37	Professional		$279.36	$509.31	$901.37
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $56.47 / $56.47 / $56.47	Facility	26	$56.47	$56.47	$56.47
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $274.22 / $501.14 / $667.86	Professional		$274.22	$501.14	$667.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.44 / $363.85 / $596.75	Professional		$40.44	$363.85	$596.75
United Facility/Professional Professional Modifier Low / Median / High Price $339.07 / $398.26 / $781.65	Professional		$339.07	$398.26	$781.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $297.06 / $297.06 / $297.06	Professional		$297.06	$297.06	$297.06