Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.53 / $30.41 / $124.48	Facility	26	$24.53	$30.41	$124.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.69 / $125.95 / $215.86	Professional		$118.69	$125.95	$215.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.00 / $41.00 / $41.00	Facility	26	$41.00	$41.00	$41.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.37 / $195.61 / $315.54	Professional		$119.37	$195.61	$315.54
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $110.87 / $125.31 / $243.54	Professional		$110.87	$125.31	$243.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $144.11 / $246.35	Professional		$36.04	$144.11	$246.35
United Facility/Professional Professional Modifier Low / Median / High Price $133.21 / $155.22 / $299.01	Professional		$133.21	$155.22	$299.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.23 / $104.23 / $104.23	Professional		$104.23	$104.23	$104.23