Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.43 / $46.57 / $222.06	Facility	26	$45.43	$46.57	$222.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.14 / $359.01 / $630.57	Professional		$311.14	$359.01	$630.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.43 / $52.70 / $128.55	Professional	26	$45.43	$52.70	$128.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $265.70 / $283.63 / $485.88	Professional	TC	$265.70	$283.63	$485.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.72 / $63.35 / $106.16	Professional	26	$36.72	$63.35	$106.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.76 / $76.76 / $76.76	Facility	26	$76.76	$76.76	$76.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.14 / $581.70 / $891.47	Professional		$302.14	$581.70	$891.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.44 / $77.42 / $126.49	Professional	26	$47.44	$77.42	$126.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $254.70 / $496.11 / $784.49	Professional	TC	$254.70	$496.11	$784.49
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $274.58 / $310.64 / $673.62	Professional		$274.58	$310.64	$673.62
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $44.98 / $49.19 / $98.41	Professional	26	$44.98	$49.19	$98.41
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $229.61 / $261.45 / $575.20	Professional	TC	$229.61	$261.45	$575.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.06 / $382.91 / $659.67	Professional		$42.06	$382.91	$659.67
United Facility/Professional Professional Modifier Low / Median / High Price $370.23 / $416.42 / $853.69	Professional		$370.23	$416.42	$853.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.69 / $62.11 / $129.41	Professional	26	$53.69	$62.11	$129.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $314.73 / $351.75 / $702.12	Professional	TC	$314.73	$351.75	$702.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $328.15 / $328.15 / $328.15	Professional		$328.15	$328.15	$328.15
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $49.79 / $49.79 / $49.79	Professional	26	$49.79	$49.79	$49.79
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $278.36 / $278.36 / $278.36	Professional	TC	$278.36	$278.36	$278.36