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 / $30.33	Facility	26	$5.90	$7.42	$30.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $31.59 / $48.68	Professional		$24.33	$31.59	$48.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.90 / $7.92 / $13.32	Professional	26	$5.90	$7.92	$13.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.43 / $24.05 / $36.60	Professional	TC	$18.43	$24.05	$36.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $25.17 / $80.91	Professional		$23.01	$25.17	$80.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $11.38 / $13.82	Professional	26	$6.61	$11.38	$13.82
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.72 / $18.72 / $18.72	Professional	TC	$18.72	$18.72	$18.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $26.51	Facility	26	$10.01	$10.01	$26.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $34.46 / $68.20	Professional		$24.61	$34.46	$68.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $10.08 / $17.98	Professional	26	$6.17	$10.08	$17.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.52 / $26.13 / $53.80	Professional	TC	$18.52	$26.13	$53.80
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $9.66 / $9.66 / $9.66	Facility	26	$9.66	$9.66	$9.66
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $34.13 / $49.16	Professional		$25.17	$34.13	$49.16
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $6.27 / $10.11 / $12.68	Professional	26	$6.27	$10.11	$12.68
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $17.98 / $24.19 / $35.97	Professional	TC	$17.98	$24.19	$35.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $33.44 / $55.74	Professional		$16.70	$33.44	$55.74
United Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $30.36 / $65.44	Professional		$23.65	$30.36	$65.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $7.97 / $16.92	Professional	26	$6.92	$7.97	$16.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.61 / $22.60 / $46.55	Professional	TC	$16.61	$22.60	$46.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $19.57 / $19.57	Professional		$19.57	$19.57	$19.57
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $4.34 / $4.34 / $4.34	Professional	26	$4.34	$4.34	$4.34
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $15.22 / $15.22 / $15.22	Professional	TC	$15.22	$15.22	$15.22