Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.50 / $86.81 / $352.39	Facility	26	$62.50	$86.81	$352.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $430.72 / $836.95	Professional		$250.00	$430.72	$836.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $120.93 / $262.80	Professional	26	$62.50	$120.93	$262.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $302.49 / $477.59	Professional	TC	$187.50	$302.49	$477.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.14 / $243.44 / $524.86	Professional		$204.14	$243.44	$524.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.00 / $133.18 / $213.20	Professional	26	$75.00	$133.18	$213.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.17 / $116.17 / $310.20	Facility	26	$116.17	$116.17	$310.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.62 / $525.15 / $1,243.60	Professional		$254.62	$525.15	$1,243.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.95 / $123.61 / $209.52	Professional	26	$71.95	$123.61	$209.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $180.64 / $387.77 / $1,097.70	Professional	TC	$180.64	$387.77	$1,097.70
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $113.67 / $113.67 / $113.67	Facility	26	$113.67	$113.67	$113.67
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $304.69 / $503.35 / $936.79	Professional		$304.69	$503.35	$936.79
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $73.38 / $110.83 / $152.38	Professional	26	$73.38	$110.83	$152.38
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $229.51 / $371.21 / $841.59	Professional	TC	$229.51	$371.21	$841.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $237.27 / $439.20	Professional		$95.09	$237.27	$439.20
United Facility/Professional Professional Modifier Low / Median / High Price $304.13 / $460.75 / $1,071.41	Professional		$304.13	$460.75	$1,071.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.55 / $92.22 / $194.30	Professional	26	$78.55	$92.22	$194.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $216.85 / $346.20 / $918.81	Professional	TC	$216.85	$346.20	$918.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $241.11 / $241.11 / $241.11	Professional		$241.11	$241.11	$241.11
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $69.45 / $69.45 / $69.45	Professional	26	$69.45	$69.45	$69.45
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $171.66 / $171.66 / $171.66	Professional	TC	$171.66	$171.66	$171.66