Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.88 / $319.01 / $688.43	Facility		$67.88	$319.01	$688.43
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.23 / $15.02 / $386.58	Facility	26	$7.23	$15.02	$386.58
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.43 / $273.83 / $534.05	Facility	TC	$23.43	$273.83	$534.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $40.24 / $100.35	Professional		$25.23	$40.24	$100.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $10.82 / $34.27	Professional	26	$7.23	$10.82	$34.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.00 / $26.77 / $54.42	Professional	TC	$18.00	$26.77	$54.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $31.14 / $48.52	Professional		$24.18	$31.14	$48.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $11.95 / $21.89	Professional	26	$7.95	$11.95	$21.89
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.78 / $21.30 / $24.69	Professional	TC	$20.78	$21.30	$24.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.36 / $100.10 / $197.66	Facility		$34.36	$100.10	$197.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.30 / $32.54	Facility	26	$12.30	$12.30	$32.54
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $32.79 / $32.79 / $66.55	Facility	TC	$32.79	$32.79	$66.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $39.24 / $76.29	Professional		$26.42	$39.24	$76.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.57 / $12.74 / $22.33	Professional	26	$7.57	$12.74	$22.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $28.25 / $56.48	Professional	TC	$19.39	$28.25	$56.48
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $34.81 / $90.16 / $144.51	Facility		$34.81	$90.16	$144.51
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 $24.81 / $24.81 / $24.81	Facility	TC	$24.81	$24.81	$24.81
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $26.56 / $40.13 / $50.37	Professional		$26.56	$40.13	$50.37
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $7.64 / $12.42 / $15.52	Professional	26	$7.64	$12.42	$15.52
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $18.64 / $26.67 / $35.97	Professional	TC	$18.64	$26.67	$35.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $33.44 / $55.74	Professional		$16.77	$33.44	$55.74
United Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $32.31 / $65.65	Professional		$27.49	$32.31	$65.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.24 / $10.02 / $20.43	Professional	26	$8.24	$10.02	$20.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.63 / $23.13 / $47.03	Professional	TC	$18.63	$23.13	$47.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $20.85 / $20.85	Professional		$20.85	$20.85	$20.85
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.56 / $5.56 / $5.56	Professional	26	$5.56	$5.56	$5.56
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $15.29 / $15.29	Professional	TC	$15.29	$15.29	$15.29