Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.46 / $6.89 / $29.17	Facility	26	$5.46	$6.89	$29.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $29.37 / $51.80	Professional		$20.91	$29.37	$51.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.46 / $7.46 / $14.89	Professional	26	$5.46	$7.46	$14.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.45 / $21.35 / $31.86	Professional	TC	$15.45	$21.35	$31.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $21.97 / $27.49	Professional		$19.23	$21.97	$27.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.16 / $10.94 / $14.02	Professional	26	$6.16	$10.94	$14.02
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $18.62 / $18.62	Professional	TC	$18.62	$18.62	$18.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $25.48	Facility	26	$9.30	$9.30	$25.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $31.71 / $61.15	Professional		$21.41	$31.71	$61.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.71 / $9.65 / $17.26	Professional	26	$5.71	$9.65	$17.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.65 / $23.03 / $46.50	Professional	TC	$15.65	$23.03	$46.50
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 Professional Modifier Low / Median / High Price $21.97 / $31.05 / $42.71	Professional		$21.97	$31.05	$42.71
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 $15.57 / $21.20 / $29.60	Professional	TC	$15.57	$21.20	$29.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $33.40 / $55.11	Professional		$13.94	$33.40	$55.11
United Facility/Professional Professional Modifier Low / Median / High Price $22.38 / $26.94 / $55.23	Professional		$22.38	$26.94	$55.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.66 / $7.56 / $16.53	Professional	26	$6.66	$7.56	$16.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.35 / $19.11 / $39.88	Professional	TC	$15.35	$19.11	$39.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $16.84	Professional		$16.84	$16.84	$16.84
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $4.04 / $4.04 / $4.04	Professional	26	$4.04	$4.04	$4.04
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $12.80 / $12.80 / $12.80	Professional	TC	$12.80	$12.80	$12.80