Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.19 / $58.19 / $58.19	Facility	26	$58.19	$58.19	$58.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.70 / $63.01 / $257.06	Professional		$48.70	$63.01	$257.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.04 / $16.48 / $28.58	Professional	26	$13.04	$16.48	$28.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.46 / $42.74 / $69.48	Professional	TC	$34.46	$42.74	$69.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $70.18 / $136.94	Professional		$38.49	$70.18	$136.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.30 / $18.57 / $35.61	Professional	26	$10.30	$18.57	$35.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.15 / $53.64 / $102.82	Professional	TC	$28.15	$53.64	$102.82
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $50.90 / $79.53 / $157.46	Professional		$50.90	$79.53	$157.46
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $16.39 / $22.52 / $30.18	Professional	26	$16.39	$22.52	$30.18
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $26.15 / $57.61 / $91.27	Professional	TC	$26.15	$57.61	$91.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.65 / $72.83 / $98.71	Professional		$51.65	$72.83	$98.71
United Facility/Professional Professional Modifier Low / Median / High Price $44.82 / $56.65 / $223.96	Professional		$44.82	$56.65	$223.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.55 / $13.87 / $57.20	Professional	26	$10.55	$13.87	$57.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.60 / $42.91 / $157.34	Professional	TC	$32.60	$42.91	$157.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $65.61 / $65.61	Professional		$29.52	$65.61	$65.61
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.66 / $14.81 / $14.81	Professional	26	$6.66	$14.81	$14.81
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $22.86 / $50.80 / $50.80	Professional	TC	$22.86	$50.80	$50.80