Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.60 / $15.76 / $17.39	Facility	26	$15.60	$15.76	$17.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $93.16 / $115.92	Professional		$59.75	$93.16	$115.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.16 / $22.16 / $22.16	Facility	26	$22.16	$22.16	$22.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $102.55 / $185.66	Professional		$49.03	$102.55	$185.66
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $58.75 / $91.46	Professional		$23.08	$58.75	$91.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $71.34 / $116.21	Professional		$41.48	$71.34	$116.21
United Facility/Professional Professional Modifier Low / Median / High Price $42.77 / $89.64 / $171.76	Professional		$42.77	$89.64	$171.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.53 / $53.53 / $75.09	Professional		$53.53	$53.53	$75.09