Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $33.86 / $135.76	Facility	26	$26.30	$33.86	$135.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.22 / $96.49 / $141.29	Professional		$69.22	$96.49	$141.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.92 / $60.95 / $100.62	Professional	TC	$42.92	$60.95	$100.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.47 / $45.47 / $119.56	Facility	26	$45.47	$45.47	$119.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $115.47 / $254.29	Professional		$75.15	$115.47	$254.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.17 / $74.52 / $192.39	Professional	TC	$47.17	$74.52	$192.39
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $43.93 / $43.93 / $43.93	Facility	26	$43.93	$43.93	$43.93
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $113.02 / $189.56	Professional		$72.44	$113.02	$189.56
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $40.81 / $61.87 / $131.66	Professional	TC	$40.81	$61.87	$131.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $77.94 / $137.79	Professional		$35.58	$77.94	$137.79
United Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $108.35 / $209.32	Professional		$76.84	$108.35	$209.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.45 / $69.08 / $144.13	Professional	TC	$42.45	$69.08	$144.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.99 / $58.99 / $58.99	Professional		$58.99	$58.99	$58.99
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $37.71 / $37.71 / $37.71	Professional	TC	$37.71	$37.71	$37.71