Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $190.87 / $192.97 / $217.03	Facility	26	$190.87	$192.97	$217.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.17 / $268.05 / $352.78	Professional		$215.17	$268.05	$352.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $265.56 / $265.56 / $265.56	Facility	26	$265.56	$265.56	$265.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.98 / $386.37 / $764.58	Professional		$251.98	$386.37	$764.58
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $185.53 / $198.78 / $426.53	Professional		$185.53	$198.78	$426.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $235.23 / $392.08	Professional		$32.28	$235.23	$392.08
United Facility/Professional Professional Modifier Low / Median / High Price $210.20 / $311.68 / $563.63	Professional		$210.20	$311.68	$563.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $212.17 / $212.17 / $212.17	Professional		$212.17	$212.17	$212.17