Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $54.95 / $446.68	Facility	26	$28.18	$54.95	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $309.03	Professional		$141.25	$190.55	$309.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $158.49 / $251.19	Professional	TC	$112.20	$158.49	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $48.98 / $70.79	Facility	26	$10.47	$48.98	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $263.03 / $426.58	Professional		$141.25	$263.03	$426.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $218.78 / $380.19	Professional	TC	$112.20	$218.78	$380.19
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $151.36 / $302.00	Professional		$138.04	$151.36	$302.00
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $120.23 / $245.47	Professional	TC	$109.65	$120.23	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $173.78	Professional		$32.36	$33.11	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $389.05	Professional		$173.78	$204.17	$389.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $165.96 / $309.03	Professional	TC	$138.04	$165.96	$309.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $194.98	Professional		$104.71	$151.36	$194.98
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $120.23 / $154.88	Professional	TC	$83.18	$120.23	$154.88