Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.33 / $31.30 / $126.09	Facility	26	$26.33	$31.30	$126.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.47 / $204.51 / $361.35	Professional		$192.47	$204.51	$361.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.16 / $44.16 / $44.16	Facility	26	$44.16	$44.16	$44.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.37 / $354.60 / $570.29	Professional		$190.37	$354.60	$570.29
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $173.54 / $198.33 / $411.78	Professional		$173.54	$198.33	$411.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.24 / $237.27 / $417.52	Professional		$37.24	$237.27	$417.52
United Facility/Professional Professional Modifier Low / Median / High Price $232.09 / $257.52 / $525.35	Professional		$232.09	$257.52	$525.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $180.25 / $180.25 / $180.25	Professional		$180.25	$180.25	$180.25