Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $10.96 / $104.71	Facility	26	$7.08	$10.96	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $95.50	Professional		$28.84	$41.69	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.96 / $30.20	Professional	26	$7.94	$10.96	$30.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $29.51 / $57.54	Professional	TC	$20.42	$29.51	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.11 / $93.33	Professional		$28.84	$33.11	$93.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.30 / $20.42	Professional	26	$8.91	$12.30	$20.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.88 / $13.49 / $22.91	Facility	26	$2.88	$13.49	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $43.65 / $89.13	Professional		$30.20	$43.65	$89.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.75 / $24.55	Professional	26	$7.94	$11.75	$24.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $32.36 / $69.18	Professional	TC	$21.88	$32.36	$69.18
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $11.48 / $11.48	Facility	26	$11.48	$11.48	$11.48
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $58.88	Professional		$30.20	$38.90	$58.88
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.23 / $15.85	Professional	26	$7.94	$10.23	$15.85
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $27.54 / $43.65	Professional	TC	$21.88	$27.54	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $28.84 / $44.67	Professional		$7.59	$28.84	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.90 / $69.18	Professional		$31.62	$38.90	$69.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $10.47 / $19.05	Professional	26	$8.32	$10.47	$19.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $28.18 / $52.48	Professional	TC	$22.91	$28.18	$52.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $42.66	Professional		$25.70	$25.70	$42.66
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $6.61 / $11.22	Professional	26	$6.61	$6.61	$11.22
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $18.62 / $31.62	Professional	TC	$18.62	$18.62	$31.62