Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $288.40 / $741.31	Facility		$69.18	$288.40	$741.31
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.89 / $6.76 / $29.51	Facility	26	$5.89	$6.76	$29.51
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $10.47 / $204.17 / $426.58	Facility	TC	$10.47	$204.17	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.92 / $81.28	Professional		$16.60	$26.92	$81.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.12 / $38.90	Professional	26	$7.08	$9.12	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $15.14 / $34.67	Professional	TC	$10.00	$15.14	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $32.36	Professional		$16.98	$19.95	$32.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $8.91 / $14.79	Professional	26	$6.46	$8.91	$14.79
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $13.49 / $19.50	Professional	TC	$10.00	$13.49	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $141.25 / $218.78	Facility		$16.60	$141.25	$218.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.14 / $10.00 / $16.98	Facility	26	$2.14	$10.00	$16.98
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $4.07 / $19.05 / $26.92	Facility	TC	$4.07	$19.05	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $22.91 / $46.77	Professional		$16.60	$22.91	$46.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $10.00 / $19.05	Professional	26	$6.17	$10.00	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.12 / $13.49 / $30.90	Professional	TC	$9.12	$13.49	$30.90
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $60.26 / $102.33	Facility		$20.89	$60.26	$102.33
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $9.55 / $9.55	Facility	26	$9.55	$9.55	$9.55
Florida Blue Facility/Professional Facility Modifier TC Low / Median / High Price $11.22 / $11.22 / $11.22	Facility	TC	$11.22	$11.22	$11.22
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.50 / $30.20	Professional		$15.49	$19.50	$30.20
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $8.32 / $12.59	Professional	26	$5.89	$8.32	$12.59
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $8.32 / $11.48 / $17.78	Professional	TC	$8.32	$11.48	$17.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $15.49 / $33.11	Professional		$5.01	$15.49	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $64.57 / $144.54	Facility		$8.71	$64.57	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.89 / $37.15	Professional		$15.85	$20.89	$37.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $8.32 / $15.49	Professional	26	$6.92	$8.32	$15.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.32 / $12.59 / $22.91	Professional	TC	$8.32	$12.59	$22.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $24.55	Professional		$13.18	$13.18	$24.55
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $4.37 / $4.37 / $8.32	Professional	26	$4.37	$4.37	$8.32
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $8.71 / $8.71 / $16.60	Professional	TC	$8.71	$8.71	$16.60