Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.54 / $245.47 / $776.25	Facility	26	$144.54	$245.47	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $1,000.00	Professional		$302.00	$478.63	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $263.03 / $616.60	Professional	26	$151.36	$263.03	$616.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $245.47 / $489.78	Professional	TC	$154.88	$245.47	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $398.11 / $707.95	Professional		$354.81	$398.11	$707.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $223.87 / $371.54	Professional	26	$173.78	$223.87	$371.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $257.04 / $371.54	Facility	26	$54.95	$257.04	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $912.01	Professional		$380.19	$602.56	$912.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $181.97 / $281.84 / $426.58	Professional	26	$181.97	$281.84	$426.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $316.23 / $501.19	Professional	TC	$199.53	$316.23	$501.19
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $363.08 / $660.69	Professional		$323.59	$363.08	$660.69
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $173.78 / $288.40	Professional	26	$158.49	$173.78	$288.40
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $190.55 / $371.54	Professional	TC	$169.82	$190.55	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $194.98 / $467.74	Professional		$32.36	$194.98	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $851.14	Professional		$389.05	$501.19	$851.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $177.83 / $234.42 / $398.11	Professional	26	$177.83	$234.42	$398.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $263.03 / $446.68	Professional	TC	$199.53	$263.03	$446.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $467.74	Professional		$331.13	$331.13	$467.74
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $158.49 / $223.87	Professional	26	$158.49	$158.49	$223.87
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $173.78 / $239.88	Professional	TC	$173.78	$173.78	$239.88