Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $263.03 / $691.83	Facility		$74.13	$263.03	$691.83
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.24 / $8.32 / $53.70	Facility	26	$7.24	$8.32	$53.70
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.39 / $177.83 / $426.58	Facility	TC	$22.39	$177.83	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $44.67 / $128.82	Professional		$11.22	$44.67	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $14.13 / $47.86	Professional	26	$7.94	$14.13	$47.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $26.30 / $52.48 / $630.96	Professional	50	$26.30	$52.48	$630.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $38.90 / $85.11	Professional	TC	$23.99	$38.90	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $70.79	Professional		$30.20	$38.02	$70.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.23 / $17.78	Professional	26	$7.94	$10.23	$17.78
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $35.48 / $58.88	Professional	TC	$23.44	$35.48	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $177.83 / $234.42	Facility		$75.86	$177.83	$234.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.63 / $12.30 / $20.89	Facility	26	$2.63	$12.30	$20.89
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $8.71 / $39.81 / $57.54	Facility	TC	$8.71	$39.81	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $43.65 / $87.10	Professional		$31.62	$43.65	$87.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $12.02 / $23.99	Professional	26	$7.59	$12.02	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $33.11 / $69.18	Professional	TC	$22.39	$33.11	$69.18
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $74.13 / $123.03	Facility		$40.74	$74.13	$123.03
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $11.75 / $11.75 / $11.75	Facility	26	$11.75	$11.75	$11.75
Florida Blue Facility/Professional Facility Modifier TC Low / Median / High Price $31.62 / $31.62 / $31.62	Facility	TC	$31.62	$31.62	$31.62
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.02 / $61.66	Professional		$31.62	$38.02	$61.66
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.23 / $15.49	Professional	26	$7.59	$10.23	$15.49
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $28.84 / $45.71	Professional	TC	$22.91	$28.84	$45.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $30.90 / $51.29	Professional		$6.76	$30.90	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $69.18 / $144.54	Facility		$16.22	$69.18	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.90 / $70.79	Professional		$31.62	$38.90	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $10.23 / $19.05	Professional	26	$8.71	$10.23	$19.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $28.84 / $51.29	Professional	TC	$22.91	$28.84	$51.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $46.77	Professional		$26.92	$26.92	$46.77
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $6.03 / $10.72	Professional	26	$6.03	$6.03	$10.72
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $20.89 / $36.31	Professional	TC	$20.89	$20.89	$36.31