Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $51.30 / $82.58	Facility	26	$51.29	$51.30	$82.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $171.00 / $275.00	Professional		$134.40	$171.00	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.10 / $53.01 / $132.30	Professional	26	$46.10	$53.01	$132.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.55 / $110.11 / $183.81	Professional	TC	$84.55	$110.11	$183.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.64 / $109.66 / $176.43	Professional		$83.64	$109.66	$176.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.88 / $59.00 / $93.22	Professional	26	$37.88	$59.00	$93.22
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $58.70 / $75.77 / $210.40	Professional	TC	$58.70	$75.77	$210.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.64 / $58.64 / $58.64	Facility	26	$58.64	$58.64	$58.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.84 / $188.70 / $305.98	Professional		$101.84	$188.70	$305.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.38 / $58.01 / $106.77	Professional	26	$36.38	$58.01	$106.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.22 / $112.73 / $209.44	Professional	TC	$61.22	$112.73	$209.44
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $43.64 / $43.64 / $54.55	Facility	26	$43.64	$43.64	$54.55
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $131.28 / $176.98	Professional		$91.59	$131.28	$176.98
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $34.42 / $46.71 / $62.73	Professional	26	$34.42	$46.71	$62.73
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $58.86 / $83.39 / $110.08	Professional	TC	$58.86	$83.39	$110.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $109.81 / $191.87	Professional		$41.40	$109.81	$191.87
United Facility/Professional Professional Modifier Low / Median / High Price $114.12 / $129.09 / $262.76	Professional		$114.12	$129.09	$262.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.31 / $46.03 / $91.08	Professional	26	$40.31	$46.03	$91.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.84 / $83.87 / $170.67	Professional	TC	$73.84	$83.87	$170.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.54 / $101.54 / $101.54	Professional		$101.54	$101.54	$101.54
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $36.49 / $36.49 / $36.49	Professional	26	$36.49	$36.49	$36.49
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $65.05 / $65.05 / $65.05	Professional	TC	$65.05	$65.05	$65.05