Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.18 / $47.96 / $52.08	Facility	26	$47.18	$47.96	$52.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.21 / $156.11 / $238.34	Professional		$131.21	$156.11	$238.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.42 / $67.42 / $173.47	Facility	26	$67.42	$67.42	$173.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.94 / $442.07 / $774.94	Professional		$285.94	$442.07	$774.94
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $121.47 / $242.94 / $420.36	Professional		$121.47	$242.94	$420.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $123.17 / $247.05	Professional		$65.56	$123.17	$247.05
United Facility/Professional Professional Modifier Low / Median / High Price $245.94 / $362.44 / $692.55	Professional		$245.94	$362.44	$692.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $273.61 / $273.61 / $273.61	Professional		$273.61	$273.61	$273.61