Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $48.98 / $61.66	Facility	26	$44.67	$48.98	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $794.33	Professional		$288.40	$398.11	$794.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $69.18 / $173.78	Professional	26	$51.29	$69.18	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $331.13 / $602.56	Professional	TC	$239.88	$331.13	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $389.05 / $645.65	Professional		$323.59	$389.05	$645.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $69.18 / $97.72	Professional	26	$51.29	$69.18	$97.72
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $363.08 / $380.19	Professional	TC	$323.59	$363.08	$380.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $63.10 / $89.13	Facility	26	$13.49	$63.10	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $446.68 / $831.76	Professional		$263.03	$446.68	$831.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $74.13 / $134.90	Professional	26	$50.12	$74.13	$134.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $371.54 / $724.44	Professional	TC	$218.78	$371.54	$724.44
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $295.12 / $467.74	Professional		$131.83	$295.12	$467.74
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $44.67 / $74.13	Professional	26	$30.90	$44.67	$74.13
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $257.04 / $389.05	Professional	TC	$87.10	$257.04	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $257.04 / $630.96	Professional		$32.36	$257.04	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $676.08	Professional		$208.93	$346.74	$676.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $60.26 / $114.82	Professional	26	$43.65	$60.26	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $295.12 / $575.44	Professional	TC	$154.88	$295.12	$575.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $436.52	Professional		$295.12	$295.12	$436.52
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $42.66 / $57.54	Professional	26	$42.66	$42.66	$57.54
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $257.04 / $371.54	Professional	TC	$257.04	$257.04	$371.54