Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $309.03 / $707.95	Facility		$33.88	$309.03	$707.95
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.62 / $6.76 / $26.30	Facility	26	$5.62	$6.76	$26.30
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $12.02 / $57.54 / $398.11	Facility	TC	$12.02	$57.54	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $34.67 / $81.28	Professional		$18.62	$34.67	$81.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $10.23 / $28.84	Professional	26	$6.03	$10.23	$28.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $20.89 / $47.86	Professional	TC	$12.59	$20.89	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.39 / $45.71	Professional		$17.78	$22.39	$45.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $8.51 / $14.13	Professional	26	$6.31	$8.51	$14.13
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $19.95 / $30.90	Professional	TC	$14.45	$19.95	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $104.71 / $213.80	Facility		$57.54	$104.71	$213.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.04 / $9.55 / $16.22	Facility	26	$2.04	$9.55	$16.22
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $4.57 / $21.38 / $30.20	Facility	TC	$4.57	$21.38	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.84 / $58.88	Professional		$19.05	$28.84	$58.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $9.55 / $19.05	Professional	26	$5.89	$9.55	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $20.42 / $43.65	Professional	TC	$13.18	$20.42	$43.65
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $60.26 / $112.20	Facility		$19.95	$60.26	$112.20
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $9.33 / $9.33	Facility	26	$9.33	$9.33	$9.33
Florida Blue Facility/Professional Facility Modifier TC Low / Median / High Price $23.99 / $23.99 / $23.99	Facility	TC	$23.99	$23.99	$23.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $29.51 / $41.69	Professional		$19.05	$29.51	$41.69
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $8.13 / $12.02	Professional	26	$5.89	$8.13	$12.02
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $20.42 / $30.20	Professional	TC	$13.18	$20.42	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $22.91 / $34.67	Professional		$6.76	$22.91	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $85.11 / $239.88	Facility		$12.02	$85.11	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $47.86	Professional		$20.89	$25.70	$47.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $8.13 / $14.79	Professional	26	$6.76	$8.13	$14.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $17.78 / $33.11	Professional	TC	$13.49	$17.78	$33.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $27.54	Professional		$20.89	$20.89	$27.54
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $6.17 / $8.32	Professional	26	$6.17	$6.17	$8.32
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $14.45 / $19.05	Professional	TC	$14.45	$14.45	$19.05