Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.02 / $13.56 / $116.74	Facility	26	$7.02	$13.56	$116.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $35.04 / $62.42	Professional		$23.96	$35.04	$62.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $10.60 / $19.37	Professional	26	$7.02	$10.60	$19.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.94 / $24.44 / $40.04	Professional	TC	$16.94	$24.44	$40.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $27.94 / $57.58	Professional		$22.39	$27.94	$57.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $9.68 / $21.89	Professional	26	$7.66	$9.68	$21.89
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.34 / $21.34 / $21.34	Professional	TC	$21.34	$21.34	$21.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $36.54	Facility	26	$11.95	$11.95	$36.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $41.23 / $76.51	Professional		$25.75	$41.23	$76.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.35 / $13.48 / $24.16	Professional	26	$7.35	$13.48	$24.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.41 / $29.28 / $54.38	Professional	TC	$18.41	$29.28	$54.38
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $13.27 / $13.27 / $13.27	Facility	26	$13.27	$13.27	$13.27
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $26.34 / $42.15 / $51.79	Professional		$26.34	$42.15	$51.79
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $13.23 / $17.42	Professional	26	$7.41	$13.23	$17.42
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $18.70 / $28.64 / $35.89	Professional	TC	$18.70	$28.64	$35.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $33.48 / $55.74	Professional		$17.75	$33.48	$55.74
United Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $32.47 / $65.73	Professional		$28.46	$32.47	$65.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.03 / $10.40 / $21.31	Professional	26	$9.03	$10.40	$21.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $22.94 / $45.03	Professional	TC	$19.32	$22.94	$45.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $22.32 / $22.32	Professional		$22.32	$22.32	$22.32
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.12 / $6.12 / $6.12	Professional	26	$6.12	$6.12	$6.12
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $16.20 / $16.20 / $16.20	Professional	TC	$16.20	$16.20	$16.20