Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.64 / $22.01 / $23.89	Facility	26	$21.64	$22.01	$23.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.52 / $147.12 / $187.30	Professional		$106.52	$147.12	$187.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.71 / $30.71 / $30.71	Facility	26	$30.71	$30.71	$30.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.20 / $166.69 / $303.12	Professional		$92.20	$166.69	$303.12
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $97.43 / $147.43	Professional		$57.92	$97.43	$147.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $128.16 / $230.78	Professional		$36.17	$128.16	$230.78
United Facility/Professional Professional Modifier Low / Median / High Price $93.75 / $135.69 / $263.32	Professional		$93.75	$135.69	$263.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.49 / $107.49 / $116.23	Professional		$107.49	$107.49	$116.23