Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $234.19 / $245.26 / $300.25	Facility	26	$234.19	$245.26	$300.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $790.85 / $1,015.69 / $1,404.79	Professional		$790.85	$1,015.69	$1,404.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $888.73 / $1,333.09 / $2,279.67	Professional		$888.73	$1,333.09	$2,279.67
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $633.64 / $678.90 / $1,369.14	Professional		$633.64	$678.90	$1,369.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $276.40 / $748.34 / $1,192.92	Professional		$276.40	$748.34	$1,192.92
United Facility/Professional Professional Modifier Low / Median / High Price $884.97 / $1,232.24 / $2,349.50	Professional		$884.97	$1,232.24	$2,349.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $736.61 / $736.61 / $736.61	Professional		$736.61	$736.61	$736.61