Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.24 / $46.52 / $192.06	Facility	26	$37.24	$46.52	$192.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $153.87 / $239.72	Professional		$145.44	$153.87	$239.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.01 / $63.01 / $63.01	Facility	26	$63.01	$63.01	$63.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.59 / $269.80 / $487.45	Professional		$145.59	$269.80	$487.45
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $136.02 / $155.44 / $349.23	Professional		$136.02	$155.44	$349.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $177.54 / $305.67	Professional		$39.36	$177.54	$305.67
United Facility/Professional Professional Modifier Low / Median / High Price $172.91 / $233.50 / $421.83	Professional		$172.91	$233.50	$421.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.56 / $131.56 / $131.56	Professional		$131.56	$131.56	$131.56