Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.42 / $326.06 / $780.83	Facility		$35.42	$326.06	$780.83
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.66 / $7.13 / $27.27	Facility	26	$5.66	$7.13	$27.27
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $12.04 / $49.44 / $401.22	Facility	TC	$12.04	$49.44	$401.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $26.93 / $55.10	Professional		$17.71	$26.93	$55.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.67 / $8.48 / $24.52	Professional	26	$5.67	$8.48	$24.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.04 / $18.04 / $36.09	Professional	TC	$12.04	$18.04	$36.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $20.97 / $45.36	Professional		$18.35	$20.97	$45.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.19 / $9.72 / $17.16	Professional	26	$6.19	$9.72	$17.16
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.75 / $16.75 / $29.68	Professional	TC	$16.75	$16.75	$29.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.55 / $100.10 / $197.66	Facility		$26.55	$100.10	$197.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $25.48	Facility	26	$9.61	$9.61	$25.48
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $22.00 / $22.00 / $64.56	Facility	TC	$22.00	$22.00	$64.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $30.25 / $58.74	Professional		$19.21	$30.25	$58.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.94 / $9.94 / $17.55	Professional	26	$5.94	$9.94	$17.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.28 / $22.00 / $42.11	Professional	TC	$13.28	$22.00	$42.11
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $31.71 / $70.17 / $112.47	Facility		$31.71	$70.17	$112.47
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
Florida Blue Facility/Professional Facility Modifier TC Low / Median / High Price $24.08 / $24.08 / $24.08	Facility	TC	$24.08	$24.08	$24.08
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $32.54 / $43.81	Professional		$19.66	$32.54	$43.81
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $6.04 / $9.72 / $12.20	Professional	26	$6.04	$9.72	$12.20
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $13.58 / $23.02 / $31.30	Professional	TC	$13.58	$23.02	$31.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $33.26 / $55.11	Professional		$14.62	$33.26	$55.11
United Facility/Professional Facility Modifier Low / Median / High Price $252.18 / $252.18 / $567.40	Facility		$252.18	$252.18	$567.40
United Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $25.81 / $50.68	Professional		$21.07	$25.81	$50.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $7.88 / $15.98	Professional	26	$6.74	$7.88	$15.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.65 / $17.70 / $34.38	Professional	TC	$13.65	$17.70	$34.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $18.93 / $18.93	Professional		$18.93	$18.93	$18.93
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.63 / $5.63 / $5.63	Professional	26	$5.63	$5.63	$5.63
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $13.30 / $13.30 / $13.30	Professional	TC	$13.30	$13.30	$13.30