Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.98 / $36.42 / $148.52	Facility	26	$28.98	$36.42	$148.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.18 / $148.65 / $210.85	Professional		$140.18	$148.65	$210.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $111.19 / $118.84 / $166.21	Professional	TC	$111.19	$118.84	$166.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.71 / $48.71 / $48.71	Facility	26	$48.71	$48.71	$48.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.19 / $265.50 / $405.84	Professional		$141.19	$265.50	$405.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $111.08 / $219.26 / $336.09	Professional	TC	$111.08	$219.26	$336.09
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $132.46 / $151.38 / $304.79	Professional		$132.46	$151.38	$304.79
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $103.49 / $118.28 / $246.04	Professional	TC	$103.49	$118.28	$246.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $172.92 / $298.97	Professional		$37.20	$172.92	$298.97
United Facility/Professional Professional Modifier Low / Median / High Price $173.83 / $203.03 / $389.40	Professional		$173.83	$203.03	$389.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.83 / $165.98 / $319.56	Professional	TC	$138.83	$165.98	$319.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $137.34 / $137.34 / $137.34	Professional		$137.34	$137.34	$137.34
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $109.24 / $109.24 / $109.24	Professional	TC	$109.24	$109.24	$109.24