Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.30 / $59.00 / $211.92	Facility	26	$51.30	$59.00	$211.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $190.72 / $440.38	Professional		$171.00	$190.72	$440.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $51.30 / $74.19	Professional	26	$51.29	$51.30	$74.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $119.70 / $387.44	Professional	TC	$119.70	$119.70	$387.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.81 / $69.81 / $69.81	Facility	26	$69.81	$69.81	$69.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.65 / $268.95 / $654.16	Professional		$152.65	$268.95	$654.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.50 / $59.26 / $103.45	Professional	26	$43.50	$59.26	$103.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $109.16 / $195.21 / $573.65	Professional	TC	$109.16	$195.21	$573.65
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $141.80 / $227.57 / $490.63	Professional		$141.80	$227.57	$490.63
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $41.43 / $50.09 / $87.66	Professional	26	$41.43	$50.09	$87.66
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $100.37 / $136.21 / $430.24	Professional	TC	$100.37	$136.21	$430.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $164.55 / $262.73	Professional		$62.75	$164.55	$262.73
United Facility/Professional Professional Modifier Low / Median / High Price $176.26 / $280.80 / $629.25	Professional		$176.26	$280.80	$629.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.64 / $54.50 / $99.55	Professional	26	$45.64	$54.50	$99.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $124.64 / $200.10 / $492.09	Professional	TC	$124.64	$200.10	$492.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.20 / $214.26 / $214.26	Professional		$213.20	$214.26	$214.26
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $58.73 / $58.73 / $58.73	Professional	26	$58.73	$58.73	$58.73
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $152.30 / $155.53 / $155.53	Professional	TC	$152.30	$155.53	$155.53