Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.68 / $15.96 / $49.84	Facility	26	$9.68	$15.96	$49.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.19 / $62.59 / $114.10	Professional		$39.19	$62.59	$114.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.69 / $14.96 / $35.71	Professional	26	$9.69	$14.96	$35.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.50 / $45.02 / $69.26	Professional	TC	$29.50	$45.02	$69.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.51 / $48.13 / $93.49	Professional		$36.51	$48.13	$93.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.83 / $15.16 / $29.32	Professional	26	$10.83	$15.16	$29.32
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $33.47 / $33.47 / $33.47	Professional	TC	$33.47	$33.47	$33.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.57 / $16.57 / $47.97	Facility	26	$16.57	$16.57	$47.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.26 / $69.84 / $128.76	Professional		$42.26	$69.84	$128.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.48 / $19.03 / $33.38	Professional	26	$10.48	$19.03	$33.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.78 / $50.36 / $92.29	Professional	TC	$31.78	$50.36	$92.29
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $17.51 / $17.51 / $17.51	Facility	26	$17.51	$17.51	$17.51
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $68.86 / $84.91	Professional		$42.78	$68.86	$84.91
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $18.68 / $22.98	Professional	26	$10.72	$18.68	$22.98
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $32.04 / $47.87 / $61.91	Professional	TC	$32.04	$47.87	$61.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.57 / $50.46 / $90.53	Professional		$26.57	$50.46	$90.53
United Facility/Professional Professional Modifier Low / Median / High Price $46.34 / $56.94 / $112.70	Professional		$46.34	$56.94	$112.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.08 / $14.91 / $28.62	Professional	26	$12.08	$14.91	$28.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.99 / $40.28 / $79.72	Professional	TC	$33.99	$40.28	$79.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.81 / $36.81 / $36.81	Professional		$36.81	$36.81	$36.81
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.60 / $8.60 / $8.60	Professional	26	$8.60	$8.60	$8.60
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $28.20 / $28.20 / $28.20	Professional	TC	$28.20	$28.20	$28.20