Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $154.88 / $154.88 / $154.88	Facility	26	$154.88	$154.88	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $851.14	Professional		$380.19	$478.63	$851.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $44.67 / $107.15	Professional	26	$34.67	$44.67	$107.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $416.87 / $758.58	Professional	TC	$323.59	$416.87	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $389.05	Professional		$346.74	$346.74	$389.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $66.07 / $66.07	Professional	26	$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $758.58	Professional		$288.40	$398.11	$758.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $45.71 / $85.11	Professional	26	$28.18	$45.71	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $354.81 / $691.83	Professional	TC	$257.04	$354.81	$691.83
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $851.14	Professional		$331.13	$512.86	$851.14
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $60.26 / $100.00	Professional	26	$38.02	$60.26	$100.00
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $446.68 / $758.58	Professional	TC	$295.12	$446.68	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $74.13	Professional		$32.36	$33.11	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $1,230.27	Professional		$269.15	$363.08	$1,230.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $36.31 / $144.54	Professional	26	$27.54	$36.31	$144.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $323.59 / $1,096.48	Professional	TC	$239.88	$323.59	$1,096.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $24.55 / $24.55	Professional	26	$24.55	$24.55	$24.55
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $234.42 / $234.42	Professional	TC	$234.42	$234.42	$234.42