Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.58 / $288.89 / $575.45	Facility		$50.58	$288.89	$575.45
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.57 / $9.64 / $31.56	Facility	26	$6.57	$9.64	$31.56
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $15.30 / $243.62 / $534.05	Facility	TC	$15.30	$243.62	$534.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $33.11 / $81.90	Professional		$20.73	$33.11	$81.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.57 / $9.94 / $25.20	Professional	26	$6.57	$9.94	$25.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.17 / $21.01 / $38.50	Professional	TC	$14.17	$21.01	$38.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.96 / $25.98 / $40.46	Professional		$20.96	$25.98	$40.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.12 / $10.01 / $19.86	Professional	26	$7.12	$10.01	$19.86
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.71 / $17.16 / $19.87	Professional	TC	$16.71	$17.16	$19.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.57 / $100.10 / $197.66	Facility		$33.57	$100.10	$197.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.16 / $11.16 / $32.54	Facility	26	$11.16	$11.16	$32.54
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $26.10 / $26.10 / $63.58	Facility	TC	$26.10	$26.10	$63.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $36.17 / $66.88	Professional		$22.60	$36.17	$66.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.87 / $12.14 / $22.03	Professional	26	$6.87	$12.14	$22.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.73 / $25.62 / $46.46	Professional	TC	$15.73	$25.62	$46.46
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $33.77 / $87.58 / $140.38	Facility		$33.77	$87.58	$140.38
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 Facility Modifier TC Low / Median / High Price $23.71 / $23.71 / $23.71	Facility	TC	$23.71	$23.71	$23.71
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $37.00 / $46.64	Professional		$23.12	$37.00	$46.64
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $6.95 / $12.27 / $15.52	Professional	26	$6.95	$12.27	$15.52
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $16.09 / $25.49 / $31.12	Professional	TC	$16.09	$25.49	$31.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $33.44 / $55.11	Professional		$15.72	$33.44	$55.11
United Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $29.19 / $56.86	Professional		$24.88	$29.19	$56.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $9.40 / $19.12	Professional	26	$8.09	$9.40	$19.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.52 / $19.23 / $38.04	Professional	TC	$16.52	$19.23	$38.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $20.21 / $20.21	Professional		$20.21	$20.21	$20.21
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.92 / $5.92 / $5.92	Professional	26	$5.92	$5.92	$5.92
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $14.29 / $14.29 / $14.29	Professional	TC	$14.29	$14.29	$14.29