Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.27 / $33.54 / $37.03	Facility	26	$33.27	$33.54	$37.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $101.97 / $137.07	Professional		$77.31	$101.97	$137.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.68 / $46.68 / $46.68	Facility	26	$46.68	$46.68	$46.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.08 / $116.06 / $212.83	Professional		$73.08	$116.06	$212.83
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $71.19 / $105.01	Professional		$33.57	$71.19	$105.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $83.14 / $140.22	Professional		$37.44	$83.14	$140.22
United Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $102.99 / $199.04	Professional		$67.20	$102.99	$199.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.41 / $79.41 / $85.86	Professional		$79.41	$79.41	$85.86