Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.41 / $29.43 / $119.80	Facility	26	$23.41	$29.43	$119.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.15 / $170.71 / $303.62	Professional		$150.15	$170.71	$303.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.42 / $39.42 / $39.42	Facility	26	$39.42	$39.42	$39.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $246.37 / $396.11	Professional		$149.63	$246.37	$396.11
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $137.96 / $156.24 / $321.77	Professional		$137.96	$156.24	$321.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $188.60 / $335.70	Professional		$36.04	$188.60	$335.70
United Facility/Professional Professional Modifier Low / Median / High Price $155.24 / $197.93 / $406.23	Professional		$155.24	$197.93	$406.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $126.58 / $126.58	Professional		$126.58	$126.58	$126.58