Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.01 / $10.00 / $28.18	Facility	26	$5.01	$10.00	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $24.55 / $57.54	Professional		$15.85	$24.55	$57.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.25 / $8.71 / $22.91	Professional	26	$5.25	$8.71	$22.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.47 / $15.14 / $33.11	Professional	TC	$10.47	$15.14	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.20 / $30.90	Professional		$15.49	$18.20	$30.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $9.12 / $13.49	Professional	26	$5.75	$9.12	$13.49
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $11.75 / $30.20	Professional	TC	$11.75	$11.75	$30.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.86 / $8.71 / $15.14	Facility	26	$1.86	$8.71	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.44 / $48.98	Professional		$16.60	$23.44	$48.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.50 / $8.32 / $17.38	Professional	26	$5.50	$8.32	$17.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.22 / $16.60 / $35.48	Professional	TC	$11.22	$16.60	$35.48
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $8.13 / $8.13	Facility	26	$8.13	$8.13	$8.13
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $21.88 / $32.36	Professional		$16.22	$21.88	$32.36
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $7.41 / $10.96	Professional	26	$5.37	$7.41	$10.96
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $13.80 / $21.38	Professional	TC	$10.96	$13.80	$21.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $16.60 / $33.11	Professional		$5.37	$16.60	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.38 / $38.90	Professional		$17.38	$21.38	$38.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $7.08 / $13.18	Professional	26	$5.89	$7.08	$13.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $14.13 / $25.12	Professional	TC	$11.75	$14.13	$25.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $23.44	Professional		$14.45	$14.45	$23.44
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $4.57 / $4.57 / $7.76	Professional	26	$4.57	$4.57	$7.76
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $9.77 / $9.77 / $15.49	Professional	TC	$9.77	$9.77	$15.49