Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $63.10 / $436.52	Facility	26	$61.66	$63.10	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $478.63 / $1,905.46	Professional		$251.19	$478.63	$1,905.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $186.21 / $478.63	Professional	26	$63.10	$186.21	$478.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $338.84 / $616.60	Professional	TC	$186.21	$338.84	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $162.18 / $213.80	Professional	26	$93.33	$162.18	$213.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $138.04 / $239.88	Facility	26	$30.20	$138.04	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $501.19 / $1,047.13	Professional		$288.40	$501.19	$1,047.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $131.83 / $263.03	Professional	26	$85.11	$131.83	$263.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $346.74 / $812.83	Professional	TC	$194.98	$346.74	$812.83
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $134.90 / $134.90	Facility	26	$134.90	$134.90	$134.90
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $467.74 / $724.44	Professional		$251.19	$467.74	$724.44
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $125.89 / $181.97	Professional	26	$85.11	$125.89	$181.97
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $323.59 / $549.54	Professional	TC	$173.78	$323.59	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $181.97 / $457.09	Professional		$32.36	$181.97	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $870.96	Professional		$323.59	$446.68	$870.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $109.65 / $218.78	Professional	26	$95.50	$109.65	$218.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $323.59 / $630.96	Professional	TC	$223.87	$323.59	$630.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $354.81	Professional		$281.84	$281.84	$354.81
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $93.33 / $120.23	Professional	26	$93.33	$93.33	$120.23
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $186.21 / $234.42	Professional	TC	$186.21	$186.21	$234.42