Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.32 / $32.57 / $138.68	Facility	26	$28.32	$32.57	$138.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.27 / $321.08 / $718.78	Professional		$278.27	$321.08	$718.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.32 / $35.65 / $101.97	Professional	26	$28.32	$35.65	$101.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $249.95 / $287.44 / $462.26	Professional	TC	$249.95	$287.44	$462.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $219.51 / $258.18 / $806.83	Professional		$219.51	$258.18	$806.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $32.35 / $60.66 / $90.06	Professional	26	$32.35	$60.66	$90.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.92 / $47.92 / $47.92	Facility	26	$47.92	$47.92	$47.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.42 / $516.27 / $799.91	Professional		$274.42	$516.27	$799.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.64 / $52.35 / $76.64	Professional	26	$29.64	$52.35	$76.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $244.79 / $463.43 / $744.66	Professional	TC	$244.79	$463.43	$744.66
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $251.01 / $286.87 / $603.84	Professional		$251.01	$286.87	$603.84
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $28.30 / $31.06 / $61.93	Professional	26	$28.30	$31.06	$61.93
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $222.71 / $253.65 / $572.12	Professional	TC	$222.71	$253.65	$572.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $355.09 / $611.68	Professional		$36.52	$355.09	$611.68
United Facility/Professional Professional Modifier Low / Median / High Price $344.68 / $385.50 / $767.54	Professional		$344.68	$385.50	$767.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.92 / $37.92 / $74.84	Professional	26	$33.92	$37.92	$74.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $310.02 / $342.42 / $693.97	Professional	TC	$310.02	$342.42	$693.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $276.33 / $276.33 / $276.33	Professional		$276.33	$276.33	$276.33
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $28.70 / $28.70 / $28.70	Professional	26	$28.70	$28.70	$28.70
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $247.64 / $247.64 / $247.64	Professional	TC	$247.64	$247.64	$247.64