Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $21.88 / $22.91	Facility	26	$20.89	$21.88	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $208.93	Professional		$114.82	$151.36	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $125.89 / $169.82	Professional	TC	$89.13	$125.89	$169.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.46 / $30.20 / $43.65	Facility	26	$6.46	$30.20	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $186.21 / $338.84	Professional		$109.65	$186.21	$338.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $154.88 / $295.12	Professional	TC	$93.33	$154.88	$295.12
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $123.03 / $190.55	Professional		$64.57	$123.03	$190.55
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $102.33 / $158.49	Professional	TC	$38.90	$102.33	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $109.65 / $263.03	Professional		$25.12	$109.65	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $263.03	Professional		$95.50	$138.04	$263.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $109.65 / $213.80	Professional	TC	$74.13	$109.65	$213.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $177.83	Professional		$123.03	$123.03	$177.83
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $104.71 / $151.36	Professional	TC	$104.71	$104.71	$151.36