Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.23 / $76.84 / $321.22	Facility	26	$63.23	$76.84	$321.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.58 / $165.99 / $299.29	Professional		$111.58	$165.99	$299.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.82 / $73.41 / $123.89	Professional	26	$56.82	$73.41	$123.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.36 / $73.48 / $221.36	Professional	TC	$48.36	$73.48	$221.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $72.33 / $87.45 / $188.96	Professional	26	$72.33	$87.45	$188.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.26 / $105.26 / $283.52	Facility	26	$105.26	$105.26	$283.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.84 / $222.63 / $607.91	Professional		$113.84	$222.63	$607.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.91 / $81.40 / $171.20	Professional	26	$55.91	$81.40	$171.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.18 / $121.65 / $509.34	Professional	TC	$48.18	$121.65	$509.34
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $69.13 / $69.13 / $69.13	Facility	26	$69.13	$69.13	$69.13
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $116.86 / $232.60 / $539.78	Professional		$116.86	$232.60	$539.78
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $54.32 / $73.83 / $107.96	Professional	26	$54.32	$73.83	$107.96
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $52.19 / $151.06 / $508.96	Professional	TC	$52.19	$151.06	$508.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.81 / $112.28 / $209.28	Professional		$60.81	$112.28	$209.28
United Facility/Professional Professional Modifier Low / Median / High Price $140.72 / $211.09 / $471.69	Professional		$140.72	$211.09	$471.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.35 / $79.56 / $156.78	Professional	26	$51.35	$79.56	$156.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.17 / $106.43 / $337.44	Professional	TC	$61.17	$106.43	$337.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.92 / $110.92 / $110.92	Professional		$110.92	$110.92	$110.92
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $61.83 / $61.83 / $61.83	Professional	26	$61.83	$61.83	$61.83
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $49.10 / $49.10 / $49.10	Professional	TC	$49.10	$49.10	$49.10