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 $58.31 / $82.91 / $108.86	Professional		$58.31	$82.91	$108.86
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 $46.93 / $95.56 / $175.52	Professional		$46.93	$95.56	$175.52
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $22.42 / $51.94 / $80.83	Professional		$22.42	$51.94	$80.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.90 / $72.79 / $115.10	Professional		$43.90	$72.79	$115.10
United Facility/Professional Professional Modifier Low / Median / High Price $42.82 / $84.18 / $162.16	Professional		$42.82	$84.18	$162.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $61.28 / $74.08	Professional		$61.28	$61.28	$74.08