Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $83.18 / $2,884.03	Facility	26	$50.12	$83.18	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $1,230.27	Professional		$302.00	$478.63	$1,230.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $79.43 / $213.80	Professional	26	$51.29	$79.43	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $371.54 / $707.95	Professional	TC	$251.19	$371.54	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $338.84 / $691.83	Professional		$295.12	$338.84	$691.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $85.11 / $125.89	Professional	26	$56.23	$85.11	$125.89
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $269.15 / $524.81	Professional	TC	$234.42	$269.15	$524.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $85.11 / $123.03	Facility	26	$18.20	$85.11	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $512.86 / $870.96	Professional		$302.00	$512.86	$870.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $91.20 / $147.91	Professional	26	$52.48	$91.20	$147.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $426.58 / $741.31	Professional	TC	$245.47	$426.58	$741.31
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $316.23 / $630.96	Professional		$288.40	$316.23	$630.96
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $56.23 / $102.33	Professional	26	$52.48	$56.23	$102.33
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $257.04 / $524.81	Professional	TC	$239.88	$257.04	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $208.93 / $363.08	Professional		$32.36	$208.93	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $851.14	Professional		$363.08	$489.78	$851.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $81.28 / $151.36	Professional	26	$60.26	$81.28	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $398.11 / $707.95	Professional	TC	$302.00	$398.11	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $316.23 / $416.87	Professional		$223.87	$316.23	$416.87
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $56.23 / $74.13	Professional	26	$39.81	$56.23	$74.13
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $263.03 / $338.84	Professional	TC	$181.97	$263.03	$338.84