Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $14.79 / $42.66	Facility	26	$7.08	$14.79	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $107.15	Professional		$33.88	$47.86	$107.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.96 / $28.84	Professional	26	$7.76	$10.96	$28.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $36.31 / $74.13	Professional	TC	$26.30	$36.31	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.90 / $81.28	Professional		$31.62	$38.90	$81.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $9.12 / $16.98	Professional	26	$7.76	$9.12	$16.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.82 / $12.88 / $22.39	Facility	26	$2.82	$12.88	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $100.00	Professional		$34.67	$48.98	$100.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.88 / $26.30	Professional	26	$7.94	$12.88	$26.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $37.15 / $81.28	Professional	TC	$26.30	$37.15	$81.28
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $13.18 / $13.18	Facility	26	$13.18	$13.18	$13.18
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $70.79	Professional		$36.31	$44.67	$70.79
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.48 / $16.98	Professional	26	$7.94	$11.48	$16.98
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $32.36 / $53.70	Professional	TC	$27.54	$32.36	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $32.36 / $57.54	Professional		$7.59	$32.36	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $79.43	Professional		$35.48	$44.67	$79.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $10.96 / $20.42	Professional	26	$9.12	$10.96	$20.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $33.11 / $60.26	Professional	TC	$26.30	$33.11	$60.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $51.29	Professional		$30.90	$30.90	$51.29
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $6.61 / $11.22	Professional	26	$6.61	$6.61	$11.22
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $24.55 / $40.74	Professional	TC	$24.55	$24.55	$40.74