Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $119.31 / $352.04	Facility	26	$69.18	$119.31	$352.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.41 / $684.86 / $1,093.24	Professional		$642.41	$684.86	$1,093.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $573.24 / $611.46 / $957.66	Professional	TC	$573.24	$611.46	$957.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.28 / $114.28 / $114.28	Facility	26	$114.28	$114.28	$114.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.22 / $950.99 / $1,580.65	Professional		$534.22	$950.99	$1,580.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $490.23 / $851.80 / $1,397.51	Professional	TC	$490.23	$851.80	$1,397.51
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $283.64 / $644.14 / $1,036.07	Professional		$283.64	$644.14	$1,036.07
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $164.58 / $537.77 / $916.89	Professional	TC	$164.58	$537.77	$916.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.79 / $742.72 / $1,227.35	Professional		$94.79	$742.72	$1,227.35
United Facility/Professional Professional Modifier Low / Median / High Price $456.23 / $705.30 / $1,458.70	Professional		$456.23	$705.30	$1,458.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $415.08 / $633.52 / $1,295.43	Professional	TC	$415.08	$633.52	$1,295.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $443.95 / $443.95 / $443.95	Professional		$443.95	$443.95	$443.95
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $397.13 / $397.13 / $397.13	Professional	TC	$397.13	$397.13	$397.13