Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.28 / $67.09 / $315.89	Facility	26	$65.28	$67.09	$315.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.14 / $620.95 / $1,184.43	Professional		$584.14	$620.95	$1,184.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.28 / $67.09 / $114.76	Professional	26	$65.28	$67.09	$114.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $518.86 / $553.86 / $960.55	Professional	TC	$518.86	$553.86	$960.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $73.95 / $138.66 / $204.25	Professional	26	$73.95	$138.66	$204.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.04 / $110.04 / $110.04	Facility	26	$110.04	$110.04	$110.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.47 / $1,093.32 / $1,730.26	Professional		$570.47	$1,093.32	$1,730.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.45 / $110.31 / $179.83	Professional	26	$68.45	$110.31	$179.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $502.02 / $972.30 / $1,536.89	Professional	TC	$502.02	$972.30	$1,536.89
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $516.72 / $585.65 / $1,267.22	Professional		$516.72	$585.65	$1,267.22
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $64.70 / $70.84 / $140.08	Professional	26	$64.70	$70.84	$140.08
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $452.01 / $514.79 / $1,127.13	Professional	TC	$452.01	$514.79	$1,127.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.91 / $666.49 / $1,195.07	Professional		$97.91	$666.49	$1,195.07
United Facility/Professional Professional Modifier Low / Median / High Price $694.99 / $774.44 / $1,485.10	Professional		$694.99	$774.44	$1,485.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.45 / $88.38 / $176.50	Professional	26	$77.45	$88.38	$176.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $616.85 / $687.02 / $1,402.70	Professional	TC	$616.85	$687.02	$1,402.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $620.09 / $620.09 / $620.09	Professional		$620.09	$620.09	$620.09
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $71.41 / $71.41 / $71.41	Professional	26	$71.41	$71.41	$71.41
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $548.67 / $548.67 / $548.67	Professional	TC	$548.67	$548.67	$548.67