Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $95.50 / $104.71	Facility	26	$93.33	$95.50	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $389.05 / $549.54	Professional		$323.59	$389.05	$549.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $125.89 / $181.97	Facility	26	$26.92	$125.89	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $489.78 / $891.25	Professional		$295.12	$489.78	$891.25
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $275.42 / $501.19	Professional		$147.91	$275.42	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $229.09 / $575.44	Professional		$32.36	$229.09	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $389.05 / $758.58	Professional		$251.19	$389.05	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $398.11	Professional		$295.12	$295.12	$398.11