Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.78 / $10.67 / $42.28	Facility	26	$8.78	$10.67	$42.28
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.21 / $62.56 / $114.47	Facility	TC	$18.21	$62.56	$114.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $36.22 / $53.72	Professional		$27.01	$36.22	$53.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.78 / $12.48 / $18.45	Professional	26	$8.78	$12.48	$18.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.21 / $24.72 / $36.52	Professional	TC	$18.21	$24.72	$36.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $33.14 / $88.16	Professional		$27.43	$33.14	$88.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.80 / $15.06 / $27.36	Professional	26	$9.80	$15.06	$27.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.00 / $15.00 / $40.54	Facility	26	$15.00	$15.00	$40.54
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $32.79 / $32.79 / $69.53	Facility	TC	$32.79	$32.79	$69.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $43.14 / $78.45	Professional		$28.94	$43.14	$78.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $15.72 / $27.59	Professional	26	$9.19	$15.72	$27.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.55 / $28.30 / $53.87	Professional	TC	$19.55	$28.30	$53.87
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $14.57 / $14.57 / $14.57	Facility	26	$14.57	$14.57	$14.57
Florida Blue Facility/Professional Facility Modifier TC Low / Median / High Price $25.78 / $25.78 / $25.78	Facility	TC	$25.78	$25.78	$25.78
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $40.38 / $53.22	Professional		$29.01	$40.38	$53.22
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $14.99 / $19.12	Professional	26	$9.41	$14.99	$19.12
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $18.69 / $25.78 / $36.72	Professional	TC	$18.69	$25.78	$36.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $33.44 / $56.57	Professional		$18.38	$33.44	$56.57
United Facility/Professional Professional Modifier Low / Median / High Price $29.64 / $35.44 / $68.73	Professional		$29.64	$35.44	$68.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.80 / $12.48 / $26.17	Professional	26	$10.80	$12.48	$26.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.02 / $22.66 / $46.55	Professional	TC	$19.02	$22.66	$46.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.26 / $23.26 / $23.26	Professional		$23.26	$23.26	$23.26
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.14 / $7.14 / $7.14	Professional	26	$7.14	$7.14	$7.14
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $16.12 / $16.12 / $16.12	Professional	TC	$16.12	$16.12	$16.12