Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.90 / $22.29 / $24.18	Facility	26	$21.90	$22.29	$24.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.86 / $165.36 / $205.78	Professional		$109.86	$165.36	$205.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.43 / $31.43 / $31.43	Facility	26	$31.43	$31.43	$31.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.20 / $180.54 / $327.90	Professional		$92.20	$180.54	$327.90
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $106.45 / $155.19	Professional		$58.88	$106.45	$155.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $154.61 / $242.21	Professional		$36.17	$154.61	$242.21
United Facility/Professional Professional Modifier Low / Median / High Price $95.70 / $139.69 / $274.89	Professional		$95.70	$139.69	$274.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.45 / $117.45 / $126.99	Professional		$117.45	$117.45	$126.99