Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.00 / $45.65 / $50.40	Facility	26	$45.00	$45.65	$50.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.38 / $383.87 / $538.16	Professional		$296.38	$383.87	$538.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $242.33 / $331.03 / $458.06	Professional	TC	$242.33	$331.03	$458.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $357.39 / $357.39 / $357.39	Professional		$357.39	$357.39	$357.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.88 / $63.88 / $63.88	Facility	26	$63.88	$63.88	$63.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.57 / $475.55 / $858.51	Professional		$288.57	$475.55	$858.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $237.71 / $407.12 / $745.95	Professional	TC	$237.71	$407.12	$745.95
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $113.66 / $268.68 / $418.45	Professional		$113.66	$268.68	$418.45
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $79.91 / $231.41 / $353.39	Professional	TC	$79.91	$231.41	$353.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $365.32 / $586.69	Professional		$64.62	$365.32	$586.69
United Facility/Professional Professional Modifier Low / Median / High Price $227.54 / $376.67 / $716.41	Professional		$227.54	$376.67	$716.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $178.19 / $319.27 / $621.88	Professional	TC	$178.19	$319.27	$621.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $319.41 / $319.41 / $345.36	Professional		$319.41	$319.41	$345.36
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $277.02 / $277.02 / $351.26	Professional	TC	$277.02	$277.02	$351.26