Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.30 / $59.59 / $237.13	Facility	26	$51.30	$59.59	$237.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $275.00 / $631.04	Professional		$171.00	$275.00	$631.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $55.00 / $103.55	Professional	26	$51.30	$55.00	$103.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $137.65 / $417.02	Professional	TC	$119.70	$137.65	$417.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.32 / $95.19 / $116.21	Professional	26	$57.32	$95.19	$116.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.63 / $83.63 / $83.63	Facility	26	$83.63	$83.63	$83.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.30 / $425.24 / $687.31	Professional		$275.30	$425.24	$687.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.39 / $89.84 / $139.15	Professional	26	$51.39	$89.84	$139.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.91 / $353.65 / $580.63	Professional	TC	$223.91	$353.65	$580.63
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $284.68 / $581.75	Professional		$251.87	$284.68	$581.75
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $49.08 / $53.74 / $105.68	Professional	26	$49.08	$53.74	$105.68
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $202.79 / $230.94 / $476.07	Professional	TC	$202.79	$230.94	$476.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $295.00 / $547.30	Professional		$91.54	$295.00	$547.30
United Facility/Professional Professional Modifier Low / Median / High Price $311.49 / $372.94 / $718.08	Professional		$311.49	$372.94	$718.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.36 / $68.84 / $129.08	Professional	26	$59.36	$68.84	$129.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $243.03 / $308.48 / $663.09	Professional	TC	$243.03	$308.48	$663.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $322.17 / $322.17 / $322.17	Professional		$322.17	$322.17	$322.17
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $59.91 / $59.91 / $59.91	Professional	26	$59.91	$59.91	$59.91
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $262.26 / $262.26 / $262.26	Professional	TC	$262.26	$262.26	$262.26