Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.60 / $98.32 / $106.19	Facility	26	$94.60	$98.32	$106.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $303.23 / $402.66 / $508.57	Professional	TC	$303.23	$402.66	$508.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $132.76 / $132.76 / $132.76	Facility	26	$132.76	$132.76	$132.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $353.20 / $514.57 / $922.46	Professional	TC	$353.20	$514.57	$922.46
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $278.57 / $305.36 / $397.95	Professional	TC	$278.57	$305.36	$397.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $289.37 / $410.59 / $760.94	Professional	TC	$289.37	$410.59	$760.94
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $333.46 / $333.46 / $422.85	Professional	TC	$333.46	$333.46	$422.85