Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.64 / $42.63 / $168.51	Facility	26	$32.64	$42.63	$168.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.44 / $80.39 / $157.41	Professional		$60.44	$80.39	$157.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.64 / $40.96 / $84.55	Professional	26	$32.64	$40.96	$84.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.80 / $35.85 / $80.18	Professional	TC	$27.80	$35.85	$80.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $73.44 / $131.10	Professional		$71.73	$73.44	$131.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.75 / $65.39 / $80.95	Professional	26	$38.75	$65.39	$80.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.93 / $56.93 / $56.93	Facility	26	$56.93	$56.93	$56.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.97 / $123.94 / $242.08	Professional		$71.97	$123.94	$242.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.17 / $60.17 / $89.44	Professional	26	$39.17	$60.17	$89.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.20 / $58.01 / $133.26	Professional	TC	$34.20	$58.01	$133.26
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $62.76 / $67.23 / $216.67	Professional		$62.76	$67.23	$216.67
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $33.90 / $36.33 / $57.94	Professional	26	$33.90	$36.33	$57.94
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $28.85 / $31.73 / $156.85	Professional	TC	$28.85	$31.73	$156.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.64 / $68.28 / $123.56	Professional		$29.64	$68.28	$123.56
United Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $117.90 / $203.81	Professional		$75.45	$117.90	$203.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.01 / $51.72 / $91.82	Professional	26	$39.01	$51.72	$91.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.72 / $56.39 / $128.88	Professional	TC	$33.72	$56.39	$128.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.58 / $55.58 / $55.58	Professional		$55.58	$55.58	$55.58
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $29.26 / $29.26 / $29.26	Professional	26	$29.26	$29.26	$29.26
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $26.32 / $26.32 / $26.32	Professional	TC	$26.32	$26.32	$26.32