Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $11.22 / $35.48	Facility	26	$6.03	$11.22	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $38.02 / $89.13	Professional		$23.44	$38.02	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $11.22 / $31.62	Professional	26	$7.08	$11.22	$31.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $23.99 / $51.29	Professional	TC	$15.85	$23.99	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $58.88	Professional		$22.91	$28.84	$58.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.22 / $17.38	Professional	26	$7.41	$11.22	$17.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $24.55 / $43.65	Professional	TC	$15.85	$24.55	$43.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.45 / $11.48 / $19.50	Facility	26	$2.45	$11.48	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $34.67 / $70.79	Professional		$23.99	$34.67	$70.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.02 / $23.44	Professional	26	$7.08	$12.02	$23.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $23.99 / $52.48	Professional	TC	$16.60	$23.99	$52.48
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 $23.99 / $30.90 / $46.77	Professional		$23.99	$30.90	$46.77
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.23 / $15.14	Professional	26	$7.08	$10.23	$15.14
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $19.50 / $30.90	Professional	TC	$15.14	$19.50	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $22.91 / $35.48	Professional		$6.46	$22.91	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.90 / $56.23	Professional		$25.70	$30.90	$56.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $10.00 / $18.20	Professional	26	$8.32	$10.00	$18.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $20.89 / $38.90	Professional	TC	$16.98	$20.89	$38.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $33.88	Professional		$19.95	$19.95	$33.88
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $5.75 / $10.00	Professional	26	$5.75	$5.75	$10.00
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $14.13 / $23.99	Professional	TC	$14.13	$14.13	$23.99