Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $11.22 / $43.65	Facility	26	$7.94	$11.22	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $46.77 / $112.20	Professional		$28.18	$46.77	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $16.98 / $35.48	Professional	26	$8.51	$16.98	$35.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $27.54 / $64.57	Professional	TC	$19.05	$27.54	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $34.67 / $77.62	Professional		$28.18	$34.67	$77.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $12.88 / $22.39	Professional	26	$8.71	$12.88	$22.39
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $33.11 / $35.48	Professional	TC	$32.36	$33.11	$35.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.02 / $14.13 / $23.99	Facility	26	$3.02	$14.13	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $81.28	Professional		$28.84	$40.74	$81.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $14.45 / $28.18	Professional	26	$8.71	$14.45	$28.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $27.54 / $58.88	Professional	TC	$19.05	$27.54	$58.88
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $14.13 / $14.13	Facility	26	$14.13	$14.13	$14.13
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $58.88	Professional		$30.20	$36.31	$58.88
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.59 / $18.62	Professional	26	$8.91	$12.59	$18.62
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $23.99 / $38.90	Professional	TC	$19.50	$23.99	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $32.36 / $38.02	Professional		$14.45	$32.36	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $66.07	Professional		$29.51	$36.31	$66.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $12.30 / $22.39	Professional	26	$10.23	$12.30	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $23.99 / $42.66	Professional	TC	$19.50	$23.99	$42.66
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 $7.24 / $7.24 / $12.88	Professional	26	$7.24	$7.24	$12.88
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $18.20 / $30.20	Professional	TC	$18.20	$18.20	$30.20