Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $86.22 / $132.11	Professional		$73.29	$86.22	$132.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.12 / $16.57 / $23.61	Professional	26	$13.12	$16.57	$23.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.81 / $69.43 / $109.35	Professional	TC	$55.81	$69.43	$109.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.19 / $91.54 / $179.68	Professional		$57.19	$91.54	$179.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.74 / $21.39 / $38.49	Professional	26	$13.74	$21.39	$38.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.34 / $74.86 / $150.76	Professional	TC	$47.34	$74.86	$150.76
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $61.48 / $85.88 / $127.72	Professional		$61.48	$85.88	$127.72
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $13.02 / $21.63 / $26.76	Professional	26	$13.02	$21.63	$26.76
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $39.92 / $66.00 / $99.81	Professional	TC	$39.92	$66.00	$99.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.24 / $100.33 / $167.24	Professional		$45.24	$100.33	$167.24
United Facility/Professional Professional Modifier Low / Median / High Price $57.70 / $85.53 / $165.65	Professional		$57.70	$85.53	$165.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.67 / $16.57 / $34.82	Professional	26	$14.67	$16.57	$34.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.70 / $68.95 / $140.51	Professional	TC	$42.70	$68.95	$140.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $51.41 / $51.41	Professional		$51.41	$51.41	$51.41
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $8.27 / $8.27	Professional	26	$8.27	$8.27	$8.27
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $43.14 / $43.14 / $43.14	Professional	TC	$43.14	$43.14	$43.14