Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.35 / $23.38 / $103.33	Facility	26	$19.35	$23.38	$103.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.93 / $80.98 / $115.15	Professional		$59.93	$80.98	$115.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.58 / $55.56 / $84.61	Professional	TC	$40.58	$55.56	$84.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $31.62 / $92.32	Facility	26	$31.62	$31.62	$92.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $100.06 / $187.08	Professional		$61.64	$100.06	$187.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.60 / $71.52 / $137.62	Professional	TC	$41.60	$71.52	$137.62
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $33.86 / $33.86 / $33.86	Facility	26	$33.86	$33.86	$33.86
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $60.03 / $96.05 / $134.47	Professional		$60.03	$96.05	$134.47
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $40.67 / $61.00 / $82.95	Professional	TC	$40.67	$61.00	$82.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $78.59 / $139.05	Professional		$35.83	$78.59	$139.05
United Facility/Professional Professional Modifier Low / Median / High Price $72.77 / $94.29 / $180.10	Professional		$72.77	$94.29	$180.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.91 / $67.48 / $121.92	Professional	TC	$46.91	$67.48	$121.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.79 / $62.79 / $62.79	Professional		$62.79	$62.79	$62.79
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $43.58 / $43.58 / $43.58	Professional	TC	$43.58	$43.58	$43.58