Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.86 / $118.75 / $307.05	Facility	26	$76.86	$118.75	$307.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.75 / $118.75 / $155.00	Professional	26	$118.75	$118.75	$155.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.54 / $104.54 / $104.54	Facility	26	$104.54	$104.54	$104.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.80 / $108.64 / $172.25	Professional	26	$63.80	$108.64	$172.25
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $61.14 / $66.97 / $135.19	Professional	26	$61.14	$66.97	$135.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.00 / $91.80 / $202.78	Professional	26	$76.00	$91.80	$202.78
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $58.90 / $58.90 / $58.90	Professional	26	$58.90	$58.90	$58.90