Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.23 / $12.87 / $36.03	Facility	26	$7.23	$12.87	$36.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $41.06 / $74.31	Professional		$25.87	$41.06	$74.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $10.19 / $20.48	Professional	26	$7.23	$10.19	$20.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.64 / $29.73 / $49.45	Professional	TC	$18.64	$29.73	$49.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $31.92 / $65.23	Professional		$24.23	$31.92	$65.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $8.48 / $16.93	Professional	26	$7.88	$8.48	$16.93
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $36.63 / $36.63 / $36.63	Professional	TC	$36.63	$36.63	$36.63
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 Professional Modifier Low / Median / High Price $27.76 / $46.49 / $84.47	Professional		$27.76	$46.49	$84.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.57 / $12.64 / $22.33	Professional	26	$7.57	$12.64	$22.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.19 / $34.82 / $64.31	Professional	TC	$20.19	$34.82	$64.31
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 Professional Modifier Low / Median / High Price $28.40 / $45.48 / $58.23	Professional		$28.40	$45.48	$58.23
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $7.64 / $12.46 / $15.52	Professional	26	$7.64	$12.46	$15.52
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $20.65 / $33.04 / $40.89	Professional	TC	$20.65	$33.04	$40.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $33.59 / $56.21	Professional		$18.23	$33.59	$56.21
United Facility/Professional Professional Modifier Low / Median / High Price $30.92 / $38.06 / $72.51	Professional		$30.92	$38.06	$72.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.24 / $9.89 / $20.99	Professional	26	$8.24	$9.89	$20.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.70 / $28.55 / $54.36	Professional	TC	$21.70	$28.55	$54.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $24.00	Professional		$24.00	$24.00	$24.00
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.30 / $6.30 / $6.30	Professional	26	$6.30	$6.30	$6.30
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $17.71 / $17.71 / $17.71	Professional	TC	$17.71	$17.71	$17.71