Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.71 / $51.30 / $2,363.34	Facility	26	$42.71	$51.30	$2,363.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.94 / $171.00 / $300.00	Professional		$106.94	$171.00	$300.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.47 / $51.30 / $128.66	Professional	26	$36.47	$51.30	$128.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.59 / $119.70 / $220.00	Professional	TC	$67.59	$119.70	$220.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $81.06 / $178.67	Professional		$64.84	$81.06	$178.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.95 / $40.72 / $83.18	Professional	26	$28.95	$40.72	$83.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $47.44 / $73.31 / $73.31	Professional	TC	$47.44	$73.31	$73.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.92 / $45.92 / $123.54	Facility	26	$45.92	$45.92	$123.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $171.57 / $320.73	Professional		$78.00	$171.57	$320.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.45 / $48.76 / $85.84	Professional	26	$28.45	$48.76	$85.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.72 / $113.74 / $236.36	Professional	TC	$49.72	$113.74	$236.36
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $45.38 / $45.38 / $45.38	Facility	26	$45.38	$45.38	$45.38
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $84.79 / $137.78 / $231.86	Professional		$84.79	$137.78	$231.86
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $31.76 / $46.58 / $59.56	Professional	26	$31.76	$46.58	$59.56
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $54.92 / $86.17 / $177.64	Professional	TC	$54.92	$86.17	$177.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $79.41 / $139.47	Professional		$36.04	$79.41	$139.47
United Facility/Professional Professional Modifier Low / Median / High Price $89.61 / $134.30 / $264.00	Professional		$89.61	$134.30	$264.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.27 / $36.78 / $76.63	Professional	26	$31.27	$36.78	$76.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.85 / $81.08 / $181.99	Professional	TC	$55.85	$81.08	$181.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $69.42 / $69.42	Professional		$69.42	$69.42	$69.42
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $25.34 / $25.34 / $25.34	Professional	26	$25.34	$25.34	$25.34
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $44.08 / $44.08 / $44.08	Professional	TC	$44.08	$44.08	$44.08