Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $267.27 / $633.23	Facility		$60.96	$267.27	$633.23
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.01 / $20.89 / $438.00	Facility	26	$7.01	$20.89	$438.00
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.39 / $215.28 / $439.61	Facility	TC	$24.39	$215.28	$439.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $32.31 / $105.00	Professional		$21.40	$32.31	$105.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $10.81 / $44.80	Professional	26	$7.02	$10.81	$44.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.38 / $20.28 / $40.65	Professional	TC	$14.38	$20.28	$40.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.49 / $47.28	Professional		$20.42	$26.49	$47.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.62 / $10.51 / $21.22	Professional	26	$7.62	$10.51	$21.22
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.02 / $19.87 / $42.27	Professional	TC	$15.02	$19.87	$42.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.25 / $136.36 / $190.89	Facility		$22.25	$136.36	$190.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $31.53	Facility	26	$11.95	$11.95	$31.53
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $26.10 / $26.10 / $54.71	Facility	TC	$26.10	$26.10	$54.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $34.07 / $61.89	Professional		$23.08	$34.07	$61.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.35 / $12.49 / $21.43	Professional	26	$7.35	$12.49	$21.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.58 / $22.35 / $42.83	Professional	TC	$15.58	$22.35	$42.83
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $41.96 / $83.31 / $131.59	Facility		$41.96	$83.31	$131.59
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $11.35 / $11.35 / $11.35	Facility	26	$11.35	$11.35	$11.35
Florida Blue Facility/Professional Facility Modifier TC Low / Median / High Price $20.32 / $20.32 / $20.32	Facility	TC	$20.32	$20.32	$20.32
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $22.96 / $31.67 / $42.89	Professional		$22.96	$31.67	$42.89
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $7.52 / $11.71 / $14.90	Professional	26	$7.52	$11.71	$14.90
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $15.02 / $20.32 / $29.21	Professional	TC	$15.02	$20.32	$29.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $33.21 / $55.02	Professional		$16.72	$33.21	$55.02
United Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $27.26 / $58.85	Professional		$23.32	$27.26	$58.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $9.75 / $20.96	Professional	26	$8.39	$9.75	$20.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.12 / $18.32 / $39.90	Professional	TC	$15.12	$18.32	$39.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $18.28 / $18.28	Professional		$18.28	$18.28	$18.28
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.61 / $5.61 / $5.61	Professional	26	$5.61	$5.61	$5.61
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $12.67 / $12.67 / $12.67	Professional	TC	$12.67	$12.67	$12.67