Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.40 / $57.58 / $233.53	Facility	26	$45.40	$57.58	$233.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.86 / $194.47 / $348.43	Professional		$183.86	$194.47	$348.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.70 / $77.70 / $77.70	Facility	26	$77.70	$77.70	$77.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $343.79 / $594.38	Professional		$183.23	$343.79	$594.38
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $170.58 / $194.94 / $449.59	Professional		$170.58	$194.94	$449.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $192.38 / $342.74	Professional		$64.62	$192.38	$342.74
United Facility/Professional Professional Modifier Low / Median / High Price $222.26 / $282.51 / $527.99	Professional		$222.26	$282.51	$527.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.23 / $177.23 / $177.23	Professional		$177.23	$177.23	$177.23