Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.51 / $57.11 / $237.95	Facility	26	$46.51	$57.11	$237.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.94 / $129.59 / $243.49	Professional		$87.94	$129.59	$243.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.51 / $56.06 / $95.82	Professional	26	$46.51	$56.06	$95.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.43 / $62.14 / $180.05	Professional	TC	$41.43	$62.14	$180.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.75 / $77.27 / $110.13	Professional	26	$53.75	$77.27	$110.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.09 / $77.09 / $165.52	Facility	26	$77.09	$77.09	$165.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $165.35 / $567.73	Professional		$88.76	$165.35	$567.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.45 / $65.20 / $127.03	Professional	26	$45.45	$65.20	$127.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.26 / $94.66 / $502.65	Professional	TC	$40.26	$94.66	$502.65
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $60.83 / $60.83 / $60.83	Facility	26	$60.83	$60.83	$60.83
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $95.22 / $172.20 / $531.63	Professional		$95.22	$172.20	$531.63
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $47.03 / $63.99 / $88.21	Professional	26	$47.03	$63.99	$88.21
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $42.80 / $99.95 / $508.96	Professional	TC	$42.80	$99.95	$508.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.35 / $81.32 / $139.73	Professional		$39.35	$81.32	$139.73
United Facility/Professional Professional Modifier Low / Median / High Price $110.25 / $159.31 / $408.75	Professional		$110.25	$159.31	$408.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.62 / $60.05 / $120.08	Professional	26	$44.62	$60.05	$120.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.84 / $79.73 / $312.95	Professional	TC	$52.84	$79.73	$312.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.66 / $81.66 / $81.66	Professional		$81.66	$81.66	$81.66
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $42.88 / $42.88 / $42.88	Professional	26	$42.88	$42.88	$42.88
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $38.79 / $38.79 / $38.79	Professional	TC	$38.79	$38.79	$38.79