Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $269.15 / $660.69	Facility		$63.10	$269.15	$660.69
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $19.95 / $229.09	Facility	26	$7.08	$19.95	$229.09
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $14.45 / $208.93 / $426.58	Facility	TC	$14.45	$208.93	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $41.69 / $125.89	Professional		$23.99	$41.69	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.88 / $44.67	Professional	26	$7.94	$12.88	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $25.70 / $61.66	Professional	TC	$15.49	$25.70	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.30 / $46.77	Professional		$20.89	$26.30	$46.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.72 / $16.98	Professional	26	$7.76	$10.72	$16.98
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $18.62 / $32.36	Professional	TC	$14.45	$18.62	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $141.25 / $218.78	Facility		$22.39	$141.25	$218.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.51 / $11.75 / $20.42	Facility	26	$2.51	$11.75	$20.42
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $5.37 / $25.12 / $36.31	Facility	TC	$5.37	$25.12	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $64.57	Professional		$22.91	$32.36	$64.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.75 / $22.91	Professional	26	$7.41	$11.75	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $21.88 / $44.67	Professional	TC	$14.79	$21.88	$44.67
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $77.62 / $131.83	Facility		$31.62	$77.62	$131.83
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $11.22 / $11.22 / $11.22	Facility	26	$11.22	$11.22	$11.22
Florida Blue Facility/Professional Facility Modifier TC Low / Median / High Price $20.42 / $20.42 / $20.42	Facility	TC	$20.42	$20.42	$20.42
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.18 / $44.67	Professional		$22.39	$28.18	$44.67
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $14.45	Professional	26	$7.08	$10.00	$14.45
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $18.20 / $29.51	Professional	TC	$15.14	$18.20	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $26.92 / $36.31	Professional		$7.59	$26.92	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $64.57 / $144.54	Facility		$12.88	$64.57	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.18 / $52.48	Professional		$23.44	$28.18	$52.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $9.77 / $18.20	Professional	26	$8.32	$9.77	$18.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $18.62 / $33.88	Professional	TC	$15.14	$18.62	$33.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $32.36	Professional		$19.95	$19.95	$32.36
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $6.17 / $10.00	Professional	26	$6.17	$6.17	$10.00
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $13.80 / $22.39	Professional	TC	$13.80	$13.80	$22.39