Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.98 / $42.70 / $130.91	Facility	26	$25.98	$42.70	$130.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $89.27 / $150.86	Professional		$56.89	$89.27	$150.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.98 / $34.61 / $63.10	Professional	26	$25.98	$34.61	$63.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.17 / $58.47 / $101.94	Professional	TC	$18.17	$58.47	$101.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.09 / $51.88 / $64.20	Professional	26	$31.09	$51.88	$64.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.71 / $44.71 / $44.71	Facility	26	$44.71	$44.71	$44.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.61 / $122.78 / $200.66	Professional		$56.61	$122.78	$200.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.84 / $50.20 / $74.17	Professional	26	$31.84	$50.20	$74.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.05 / $82.39 / $134.02	Professional	TC	$13.05	$82.39	$134.02
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $88.97 / $95.33 / $145.41	Professional		$88.97	$95.33	$145.41
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $28.84 / $51.41	Professional	26	$26.92	$28.84	$51.41
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $58.72 / $65.93 / $84.22	Professional	TC	$58.72	$65.93	$84.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $110.08 / $176.22	Professional		$32.34	$110.08	$176.22
United Facility/Professional Professional Modifier Low / Median / High Price $60.17 / $97.37 / $176.70	Professional		$60.17	$97.37	$176.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.07 / $43.32 / $71.33	Professional	26	$32.07	$43.32	$71.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.54 / $62.40 / $119.34	Professional	TC	$12.54	$62.40	$119.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $33.34 / $33.34	Professional		$33.34	$33.34	$33.34
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $9.49 / $9.49 / $9.49	Professional	26	$9.49	$9.49	$9.49
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $23.85 / $23.85 / $23.85	Professional	TC	$23.85	$23.85	$23.85