Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $6.17 / $30.90	Facility	26	$6.03	$6.17	$30.90
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $14.45 / $52.48 / $144.54	Facility	TC	$14.45	$52.48	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $31.62 / $81.28	Professional		$19.05	$31.62	$81.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $10.00 / $28.18	Professional	26	$6.31	$10.00	$28.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $20.89 / $45.71	Professional	TC	$15.14	$20.89	$45.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.30 / $41.69	Professional		$21.88	$26.30	$41.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $9.33 / $15.85	Professional	26	$6.76	$9.33	$15.85
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $23.99 / $26.92	Professional	TC	$23.99	$23.99	$26.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.19 / $10.23 / $17.78	Facility	26	$2.19	$10.23	$17.78
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $5.62 / $26.30 / $38.02	Facility	TC	$5.62	$26.30	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.90 / $63.10	Professional		$22.39	$30.90	$63.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $10.23 / $20.42	Professional	26	$6.46	$10.23	$20.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $21.88 / $46.77	Professional	TC	$14.79	$21.88	$46.77
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.00 / $10.00	Facility	26	$10.00	$10.00	$10.00
Florida Blue Facility/Professional Facility Modifier TC Low / Median / High Price $21.38 / $21.38 / $21.38	Facility	TC	$21.38	$21.38	$21.38
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $27.54 / $44.67	Professional		$22.91	$27.54	$44.67
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $8.71 / $13.18	Professional	26	$6.31	$8.71	$13.18
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $19.05 / $30.20	Professional	TC	$15.49	$19.05	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $22.39 / $36.31	Professional		$5.89	$22.39	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $27.54 / $50.12	Professional		$22.39	$27.54	$50.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $8.51 / $15.85	Professional	26	$7.24	$8.51	$15.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $19.05 / $33.88	Professional	TC	$15.14	$19.05	$33.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $33.11	Professional		$19.50	$19.50	$33.11
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.25 / $5.25 / $8.91	Professional	26	$5.25	$5.25	$8.91
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $14.13 / $23.99	Professional	TC	$14.13	$14.13	$23.99