Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.54 / $37.27 / $40.34	Facility	26	$36.54	$37.27	$40.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.95 / $341.84 / $427.54	Professional		$270.95	$341.84	$427.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $135.47 / $171.80 / $210.14	Professional	52	$135.47	$171.80	$210.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $233.69 / $297.77 / $371.70	Professional	TC	$233.69	$297.77	$371.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.88 / $50.88 / $50.88	Facility	26	$50.88	$50.88	$50.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.46 / $418.33 / $753.79	Professional		$118.46	$418.33	$753.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $260.41 / $379.10 / $689.79	Professional	TC	$260.41	$379.10	$689.79
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $239.87 / $261.89 / $342.66	Professional		$239.87	$261.89	$342.66
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $209.91 / $230.15 / $295.91	Professional	TC	$209.91	$230.15	$295.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.24 / $355.09 / $546.81	Professional		$41.24	$355.09	$546.81
United Facility/Professional Professional Modifier Low / Median / High Price $253.04 / $357.64 / $679.18	Professional		$253.04	$357.64	$679.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $216.25 / $308.93 / $575.12	Professional	TC	$216.25	$308.93	$575.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $285.20 / $285.20 / $308.37	Professional		$285.20	$285.20	$308.37
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $251.24 / $251.24 / $318.64	Professional	TC	$251.24	$251.24	$318.64