Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.17 / $77.83 / $324.20	Facility	26	$62.17	$77.83	$324.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.61 / $99.59 / $190.03	Professional		$95.61	$99.59	$190.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.45 / $35.81 / $67.68	Professional	TC	$33.45	$35.81	$67.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.07 / $106.07 / $106.07	Facility	26	$106.07	$106.07	$106.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.54 / $155.66 / $267.30	Professional		$101.54	$155.66	$267.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.92 / $52.47 / $119.68	Professional	TC	$35.92	$52.47	$119.68
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $117.73 / $218.60	Professional		$96.42	$117.73	$218.60
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $34.51 / $46.83 / $106.96	Professional	TC	$34.51	$46.83	$106.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.44 / $104.60 / $168.03	Professional		$59.44	$104.60	$168.03
United Facility/Professional Professional Modifier Low / Median / High Price $114.80 / $140.63 / $248.03	Professional		$114.80	$140.63	$248.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.36 / $52.24 / $101.04	Professional	TC	$37.36	$52.24	$101.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.09 / $86.09 / $86.09	Professional		$86.09	$86.09	$86.09
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $31.79 / $31.79 / $31.79	Professional	TC	$31.79	$31.79	$31.79