Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.35 / $7.98 / $32.68	Facility	26	$6.35	$7.98	$32.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $29.91 / $49.96	Professional		$21.37	$29.91	$49.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.35 / $8.74 / $16.05	Professional	26	$6.35	$8.74	$16.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.02 / $21.07 / $33.40	Professional	TC	$15.02	$21.07	$33.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $21.79 / $32.38	Professional		$19.93	$21.79	$32.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.13 / $13.61 / $19.86	Professional	26	$7.13	$13.61	$19.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $29.52	Facility	26	$10.80	$10.80	$29.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $33.77 / $64.70	Professional		$23.01	$33.77	$64.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $11.10 / $20.16	Professional	26	$6.65	$11.10	$20.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.39 / $23.89 / $47.48	Professional	TC	$16.39	$23.89	$47.48
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $10.74 / $10.74 / $10.74	Facility	26	$10.74	$10.74	$10.74
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $34.00 / $42.50	Professional		$22.32	$34.00	$42.50
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $6.72 / $11.14 / $14.09	Professional	26	$6.72	$11.14	$14.09
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $15.44 / $23.31 / $29.26	Professional	TC	$15.44	$23.31	$29.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $33.40 / $55.11	Professional		$13.85	$33.40	$55.11
United Facility/Professional Professional Modifier Low / Median / High Price $23.26 / $27.83 / $56.73	Professional		$23.26	$27.83	$56.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $8.61 / $17.89	Professional	26	$7.66	$8.61	$17.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.70 / $19.39 / $39.47	Professional	TC	$15.70	$19.39	$39.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $17.48 / $17.48	Professional		$17.48	$17.48	$17.48
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $4.84 / $4.84 / $4.84	Professional	26	$4.84	$4.84	$4.84
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $12.63 / $12.63 / $12.63	Professional	TC	$12.63	$12.63	$12.63