Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $42.66 / $45.71	Facility	26	$41.69	$42.66	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $302.00	Professional		$165.96	$199.53	$302.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $58.88 / $85.11	Facility	26	$12.59	$58.88	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $467.74	Professional		$154.88	$245.47	$467.74
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $144.54 / $257.04	Professional		$81.28	$144.54	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $389.05	Professional		$131.83	$199.53	$389.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $204.17	Professional		$151.36	$151.36	$204.17