Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.10 / $147.10 / $147.10	Facility	26	$147.10	$147.10	$147.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $101.90 / $152.47	Professional		$82.58	$101.90	$152.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.97 / $42.82 / $64.44	Professional	26	$34.97	$42.82	$64.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $103.12 / $210.87	Professional		$62.39	$103.12	$210.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.22 / $44.62 / $87.44	Professional	26	$26.22	$44.62	$87.44
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $155.05 / $355.70	Professional		$118.00	$155.05	$355.70
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $49.38 / $63.34 / $81.50	Professional	26	$49.38	$63.34	$81.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.73 / $86.37 / $167.94	Professional		$41.73	$86.37	$167.94
United Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $102.60 / $333.23	Professional		$64.06	$102.60	$333.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $43.31 / $151.00	Professional	26	$26.30	$43.31	$151.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $96.50 / $96.50	Professional		$43.43	$96.50	$96.50
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $17.69 / $39.31 / $39.31	Professional	26	$17.69	$39.31	$39.31