Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.10 / $38.14 / $42.11	Facility	26	$38.10	$38.14	$42.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $98.83 / $120.36	Professional		$79.26	$98.83	$120.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.58 / $52.59 / $64.93	Professional	TC	$40.58	$52.59	$64.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $84.06 / $84.06	Professional		$81.31	$84.06	$84.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.06 / $52.06 / $52.06	Facility	26	$52.06	$52.06	$52.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $123.20 / $219.85	Professional		$78.81	$123.20	$219.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.52 / $62.18 / $114.69	Professional	TC	$39.52	$62.18	$114.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $41.45 / $67.01 / $101.73	Professional		$41.45	$67.01	$101.73
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $15.67 / $31.33 / $48.57	Professional	TC	$15.67	$31.33	$48.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.05 / $50.50 / $130.94	Professional		$28.05	$50.50	$130.94
United Facility/Professional Professional Modifier Low / Median / High Price $70.64 / $99.82 / $185.08	Professional		$70.64	$99.82	$185.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.65 / $50.78 / $96.02	Professional	TC	$33.65	$50.78	$96.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.92 / $67.92 / $79.02	Professional		$67.92	$67.92	$79.02
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $33.70 / $33.70 / $43.11	Professional	TC	$33.70	$33.70	$43.11