Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.62 / $20.62 / $23.71	Facility	26	$20.62	$20.62	$23.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.57 / $96.76 / $181.24	Professional		$48.57	$96.76	$181.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.62 / $21.65 / $32.78	Professional	26	$20.62	$21.65	$32.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.81 / $35.81 / $35.81	Facility	26	$35.81	$35.81	$35.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.02 / $158.02 / $158.02	Professional		$158.02	$158.02	$158.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.27 / $28.27 / $28.27	Professional	26	$28.27	$28.27	$28.27
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $45.40 / $114.16 / $154.94	Professional		$45.40	$114.16	$154.94
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $21.25 / $22.76 / $36.24	Professional	26	$21.25	$22.76	$36.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $159.45 / $260.40	Professional		$38.71	$159.45	$260.40
United Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $91.70 / $169.86	Professional		$53.88	$91.70	$169.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.97 / $31.15 / $57.64	Professional	26	$23.97	$31.15	$57.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $146.59 / $146.59 / $146.59	Professional		$146.59	$146.59	$146.59
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $26.23 / $26.23 / $26.23	Professional	26	$26.23	$26.23	$26.23