Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.78 / $11.47 / $42.28	Facility	26	$8.78	$11.47	$42.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.02 / $50.58 / $107.26	Professional		$37.02	$50.58	$107.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.78 / $12.78 / $23.67	Professional	26	$8.78	$12.78	$23.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.22 / $37.38 / $69.03	Professional	TC	$28.22	$37.38	$69.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $54.78 / $126.83	Professional		$39.46	$54.78	$126.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.81 / $12.44 / $26.60	Professional	26	$9.81	$12.44	$26.60
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $36.84 / $36.84 / $36.84	Professional	TC	$36.84	$36.84	$36.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.00 / $15.00 / $41.96	Facility	26	$15.00	$15.00	$41.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $57.61 / $113.37	Professional		$39.04	$57.61	$113.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $16.00 / $28.35	Professional	26	$9.19	$16.00	$28.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.37 / $41.72 / $84.38	Professional	TC	$28.37	$41.72	$84.38
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $15.35 / $15.35 / $15.35	Facility	26	$15.35	$15.35	$15.35
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $54.91 / $77.06	Professional		$39.46	$54.91	$77.06
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $15.47 / $20.14	Professional	26	$9.77	$15.47	$20.14
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $29.05 / $39.01 / $56.17	Professional	TC	$29.05	$39.01	$56.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $49.82 / $90.53	Professional		$26.05	$49.82	$90.53
United Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $46.25 / $95.83	Professional		$39.26	$46.25	$95.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $12.56 / $25.38	Professional	26	$10.72	$12.56	$25.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.40 / $34.51 / $65.93	Professional	TC	$28.40	$34.51	$65.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $30.71 / $30.71	Professional		$30.71	$30.71	$30.71
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $6.65 / $6.65	Professional	26	$6.65	$6.65	$6.65
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $24.06 / $24.06 / $24.06	Professional	TC	$24.06	$24.06	$24.06