Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $74.13 / $371.54	Facility	26	$61.66	$74.13	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $478.63 / $2,344.23	Professional		$251.19	$478.63	$2,344.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $177.83 / $426.58	Professional	26	$85.11	$177.83	$426.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $331.13 / $707.95	Professional	TC	$186.21	$331.13	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $549.54	Professional		$213.80	$263.03	$549.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $125.89 / $194.98	Professional	26	$81.28	$125.89	$194.98
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $117.49 / $218.78	Professional	TC	$117.49	$117.49	$218.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $123.03 / $213.80	Facility	26	$26.92	$123.03	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $478.63 / $1,258.93	Professional		$239.88	$478.63	$1,258.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $128.82 / $245.47	Professional	26	$77.62	$128.82	$245.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $323.59 / $1,047.13	Professional	TC	$169.82	$323.59	$1,047.13
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $120.23 / $120.23	Facility	26	$120.23	$120.23	$120.23
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $416.87 / $912.01	Professional		$229.09	$416.87	$912.01
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $114.82 / $165.96	Professional	26	$74.13	$114.82	$165.96
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $281.84 / $812.83	Professional	TC	$151.36	$281.84	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $158.49 / $398.11	Professional		$32.36	$158.49	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $1,047.13	Professional		$288.40	$436.52	$1,047.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $104.71 / $199.53	Professional	26	$89.13	$104.71	$199.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $295.12 / $794.33	Professional	TC	$194.98	$295.12	$794.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $309.03	Professional		$251.19	$251.19	$309.03
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $83.18 / $104.71	Professional	26	$83.18	$83.18	$104.71
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $165.96 / $204.17	Professional	TC	$165.96	$165.96	$204.17