Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.83 / $26.19 / $107.01	Facility	26	$20.83	$26.19	$107.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.26 / $172.69 / $315.31	Professional		$162.26	$172.69	$315.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.11 / $35.11 / $35.11	Facility	26	$35.11	$35.11	$35.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.53 / $215.38 / $370.73	Professional		$147.53	$215.38	$370.73
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $147.53 / $161.77 / $278.02	Professional		$147.53	$161.77	$278.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $211.93 / $364.86	Professional		$36.04	$211.93	$364.86
United Facility/Professional Professional Modifier Low / Median / High Price $141.57 / $204.15 / $411.79	Professional		$141.57	$204.15	$411.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.42 / $107.42 / $107.42	Professional		$107.42	$107.42	$107.42