Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.90 / $7.42 / $28.07	Facility	26	$5.90	$7.42	$28.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $28.32 / $43.40	Professional		$20.49	$28.32	$43.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.90 / $7.78 / $13.32	Professional	26	$5.90	$7.78	$13.32
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $59.24 / $66.15 / $66.15	Professional	50	$59.24	$66.15	$66.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.59 / $19.86 / $29.47	Professional	TC	$14.59	$19.86	$29.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $22.73 / $32.69	Professional		$21.55	$22.73	$32.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.77 / $12.39 / $17.07	Professional	26	$8.77	$12.39	$17.07
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $25.87 / $25.87 / $48.03	Professional	50	$25.87	$25.87	$48.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.67 / $9.67 / $24.50	Facility	26	$9.67	$9.67	$24.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $29.37 / $58.03	Professional		$20.72	$29.37	$58.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $9.50 / $17.26	Professional	26	$6.17	$9.50	$17.26
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.29 / $38.29 / $38.29	Professional	50	$38.29	$38.29	$38.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.17 / $21.50 / $43.14	Professional	TC	$15.17	$21.50	$43.14
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $8.93 / $8.93 / $8.93	Facility	26	$8.93	$8.93	$8.93
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $29.16 / $41.65	Professional		$21.55	$29.16	$41.65
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $6.25 / $9.60 / $11.95	Professional	26	$6.25	$9.60	$11.95
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $15.04 / $19.55 / $29.07	Professional	TC	$15.04	$19.55	$29.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $33.26 / $55.11	Professional		$13.31	$33.26	$55.11
United Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $25.71 / $55.34	Professional		$21.35	$25.71	$55.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.50 / $7.45 / $16.30	Professional	26	$6.50	$7.45	$16.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.61 / $18.53 / $39.47	Professional	TC	$14.61	$18.53	$39.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $16.41 / $16.41	Professional		$16.41	$16.41	$16.41
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $4.19 / $4.19 / $4.19	Professional	26	$4.19	$4.19	$4.19
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $12.23 / $12.23 / $12.23	Professional	TC	$12.23	$12.23	$12.23