Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $60.77 / $558.86	Facility	26	$51.29	$60.77	$558.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $267.55 / $414.92	Professional		$171.00	$267.55	$414.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.64 / $55.90 / $142.19	Professional	26	$49.64	$55.90	$142.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $207.23 / $284.74	Professional	TC	$119.70	$207.23	$284.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $170.60 / $222.33	Professional		$136.47	$170.60	$222.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.21 / $63.19 / $112.21	Professional	26	$40.21	$63.19	$112.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.89 / $62.89 / $169.53	Facility	26	$62.89	$62.89	$169.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.94 / $271.93 / $544.29	Professional		$162.94	$271.93	$544.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.95 / $62.02 / $116.66	Professional	26	$38.95	$62.02	$116.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $127.92 / $209.06 / $432.82	Professional	TC	$127.92	$209.06	$432.82
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $61.80 / $61.80 / $61.80	Facility	26	$61.80	$61.80	$61.80
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $168.43 / $258.51 / $343.62	Professional		$168.43	$258.51	$343.62
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $43.26 / $64.12 / $81.11	Professional	26	$43.26	$64.12	$81.11
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $124.50 / $194.87 / $276.58	Professional	TC	$124.50	$194.87	$276.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.24 / $191.01 / $325.72	Professional		$37.24	$191.01	$325.72
United Facility/Professional Professional Modifier Low / Median / High Price $177.46 / $238.25 / $444.71	Professional		$177.46	$238.25	$444.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.00 / $50.31 / $109.43	Professional	26	$43.00	$50.31	$109.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $132.50 / $182.27 / $352.80	Professional	TC	$132.50	$182.27	$352.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.27 / $134.27 / $134.27	Professional		$134.27	$134.27	$134.27
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $31.04 / $31.04 / $31.04	Professional	26	$31.04	$31.04	$31.04
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $103.22 / $103.22 / $103.22	Professional	TC	$103.22	$103.22	$103.22