Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.87 / $598.37 / $744.92	Facility		$53.87	$598.37	$744.92
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.72 / $14.83 / $16.37	Facility	26	$14.72	$14.83	$16.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.44 / $74.13 / $146.75	Professional		$58.44	$74.13	$146.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.83 / $18.18 / $23.82	Professional	26	$14.83	$18.18	$23.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.68 / $53.27 / $128.08	Professional	TC	$42.68	$53.27	$128.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $56.94 / $56.94	Professional		$56.94	$56.94	$56.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.03 / $269.31 / $637.11	Facility		$42.03	$269.31	$637.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.65 / $20.65 / $20.65	Facility	26	$20.65	$20.65	$20.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.23 / $104.10 / $224.76	Professional		$55.23	$104.10	$224.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.57 / $24.14 / $43.93	Professional	26	$15.57	$24.14	$43.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.44 / $80.28 / $188.19	Professional	TC	$41.44	$80.28	$188.19
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $21.18 / $37.65 / $71.48	Facility		$21.18	$37.65	$71.48
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $42.86 / $51.50 / $117.04	Professional		$42.86	$51.50	$117.04
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $8.19 / $13.82 / $24.28	Professional	26	$8.19	$13.82	$24.28
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $30.77 / $38.65 / $86.61	Professional	TC	$30.77	$38.65	$86.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $54.73 / $95.68	Professional		$28.42	$54.73	$95.68
United Facility/Professional Professional Modifier Low / Median / High Price $53.46 / $94.73 / $189.32	Professional		$53.46	$94.73	$189.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.21 / $19.79 / $36.60	Professional	26	$14.21	$19.79	$36.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.17 / $73.81 / $158.77	Professional	TC	$37.17	$73.81	$158.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.55 / $50.55 / $61.22	Professional		$50.55	$50.55	$61.22
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $13.79 / $13.79 / $17.27	Professional	26	$13.79	$13.79	$17.27
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $36.76 / $36.76 / $46.74	Professional	TC	$36.76	$36.76	$46.74