Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.98 / $42.72 / $126.81	Facility	26	$24.98	$42.72	$126.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.15 / $214.74 / $400.06	Professional		$198.15	$214.74	$400.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.17 / $42.17 / $42.17	Facility	26	$42.17	$42.17	$42.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.76 / $348.95 / $535.29	Professional		$194.76	$348.95	$535.29
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $177.63 / $201.28 / $435.59	Professional		$177.63	$201.28	$435.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $245.88 / $425.67	Professional		$36.17	$245.88	$425.67
United Facility/Professional Professional Modifier Low / Median / High Price $236.00 / $262.20 / $529.25	Professional		$236.00	$262.20	$529.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.96 / $190.96 / $190.96	Professional		$190.96	$190.96	$190.96