Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.79 / $12.09 / $36.03	Facility	26	$6.79	$12.09	$36.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $32.92 / $55.66	Professional		$22.03	$32.92	$55.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.79 / $10.02 / $19.22	Professional	26	$6.79	$10.02	$19.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.23 / $22.84 / $35.02	Professional	TC	$15.23	$22.84	$35.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $24.72 / $37.14	Professional		$20.72	$24.72	$37.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $14.55 / $21.20	Professional	26	$7.76	$14.55	$21.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.56 / $11.56 / $32.54	Facility	26	$11.56	$11.56	$32.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.73 / $36.31 / $67.95	Professional		$23.73	$36.31	$67.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.11 / $12.47 / $22.08	Professional	26	$7.11	$12.47	$22.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.62 / $26.28 / $48.53	Professional	TC	$16.62	$26.28	$48.53
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $11.46 / $11.46 / $11.46	Facility	26	$11.46	$11.46	$11.46
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $23.11 / $35.86 / $44.46	Professional		$23.11	$35.86	$44.46
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $7.18 / $12.06 / $15.04	Professional	26	$7.18	$12.06	$15.04
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $15.87 / $23.73 / $30.07	Professional	TC	$15.87	$23.73	$30.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $33.42 / $55.48	Professional		$14.17	$33.42	$55.48
United Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $30.18 / $61.33	Professional		$25.47	$30.18	$61.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.24 / $9.97 / $20.61	Professional	26	$8.24	$9.97	$20.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.72 / $20.71 / $40.72	Professional	TC	$16.72	$20.71	$40.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $18.10 / $18.10	Professional		$18.10	$18.10	$18.10
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.22 / $5.22 / $5.22	Professional	26	$5.22	$5.22	$5.22
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $12.88 / $12.88	Professional	TC	$12.88	$12.88	$12.88