Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.38 / $19.60 / $79.14	Facility	26	$15.38	$19.60	$79.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.55 / $112.53 / $163.33	Professional		$88.55	$112.53	$163.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.16 / $89.72 / $132.58	Professional	TC	$73.16	$89.72	$132.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.26 / $26.26 / $71.50	Facility	26	$26.26	$26.26	$71.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $119.18 / $238.05	Professional		$81.84	$119.18	$238.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.20 / $99.17 / $200.38	Professional	TC	$67.20	$99.17	$200.38
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $26.07 / $26.07 / $26.07	Facility	26	$26.07	$26.07	$26.07
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $84.89 / $115.86 / $164.12	Professional		$84.89	$115.86	$164.12
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $65.33 / $86.04 / $127.38	Professional	TC	$65.33	$86.04	$127.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.41 / $121.62 / $199.31	Professional		$73.41	$121.62	$199.31
United Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $106.93 / $228.98	Professional		$84.56	$106.93	$228.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.72 / $86.78 / $179.34	Professional	TC	$64.72	$86.78	$179.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.90 / $76.90 / $76.90	Professional		$76.90	$76.90	$76.90
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $64.59 / $64.59 / $64.59	Professional	TC	$64.59	$64.59	$64.59