Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $66.07 / $66.07	Facility	26	$66.07	$66.07	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $154.88 / $269.15	Professional		$85.11	$154.88	$269.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $23.99 / $138.04	Professional	26	$16.98	$23.99	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $125.89 / $204.17	Professional	TC	$64.57	$125.89	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $131.83 / $281.84	Professional		$72.44	$131.83	$281.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $25.70 / $64.57	Professional	26	$11.75	$25.70	$64.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $100.00 / $223.87	Professional	TC	$51.29	$100.00	$223.87
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $380.19	Professional		$128.82	$213.80	$380.19
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $40.74 / $109.65	Professional	26	$25.70	$40.74	$109.65
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $169.82 / $269.15	Professional	TC	$100.00	$169.82	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.11 / $218.78	Professional		$30.90	$33.11	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $380.19	Professional		$83.18	$120.23	$380.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $23.44 / $72.44	Professional	26	$11.75	$23.44	$72.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $95.50 / $316.23	Professional	TC	$67.61	$95.50	$316.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $144.54 / $144.54	Professional		$64.57	$144.54	$144.54
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $16.98 / $16.98	Professional	26	$7.59	$16.98	$16.98
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $125.89 / $125.89	Professional	TC	$57.54	$125.89	$125.89