Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.45 / $226.78 / $532.98	Facility		$32.45	$226.78	$532.98
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.23 / $9.09 / $36.03	Facility	26	$7.23	$9.09	$36.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $32.39 / $61.10	Professional		$23.32	$32.39	$61.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $9.98 / $25.00	Professional	26	$7.23	$9.98	$25.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.09 / $22.41 / $36.13	Professional	TC	$16.09	$22.41	$36.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.38 / $27.37 / $34.21	Professional		$22.38	$27.37	$34.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $10.83 / $21.89	Professional	26	$7.95	$10.83	$21.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.83 / $99.23 / $163.37	Facility		$30.83	$99.23	$163.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $32.54	Facility	26	$11.95	$11.95	$32.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $36.15 / $68.66	Professional		$23.77	$36.15	$68.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.57 / $12.21 / $22.33	Professional	26	$7.57	$12.21	$22.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.36 / $24.70 / $48.48	Professional	TC	$16.36	$24.70	$48.48
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $32.72 / $77.26 / $123.84	Facility		$32.72	$77.26	$123.84
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $11.82 / $11.82 / $11.82	Facility	26	$11.82	$11.82	$11.82
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $36.19 / $46.63	Professional		$24.97	$36.19	$46.63
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $7.64 / $12.39 / $15.52	Professional	26	$7.64	$12.39	$15.52
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $16.72 / $23.63 / $32.79	Professional	TC	$16.72	$23.63	$32.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $33.26 / $55.57	Professional		$15.88	$33.26	$55.57
United Facility/Professional Facility Modifier Low / Median / High Price $179.57 / $179.57 / $179.57	Facility		$179.57	$179.57	$179.57
United Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $29.48 / $60.83	Professional		$25.07	$29.48	$60.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.25 / $9.86 / $21.61	Professional	26	$8.25	$9.86	$21.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.39 / $19.98 / $39.26	Professional	TC	$16.39	$19.98	$39.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $19.57 / $19.57	Professional		$19.57	$19.57	$19.57
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.51 / $5.51 / $5.51	Professional	26	$5.51	$5.51	$5.51
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $14.05 / $14.05 / $14.05	Professional	TC	$14.05	$14.05	$14.05