Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.83 / $307.00 / $652.83	Facility		$37.83	$307.00	$652.83
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.23 / $8.31 / $34.79	Facility	26	$7.23	$8.31	$34.79
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.85 / $100.63 / $332.77	Facility	TC	$18.85	$100.63	$332.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $37.19 / $72.23	Professional		$26.09	$37.19	$72.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $10.40 / $26.01	Professional	26	$7.23	$10.40	$26.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $70.50 / $71.37 / $78.55	Professional	50	$70.50	$71.37	$78.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.85 / $27.12 / $50.28	Professional	TC	$18.85	$27.12	$50.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $30.78 / $60.44	Professional		$24.62	$30.78	$60.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.87 / $11.04 / $22.55	Professional	26	$7.87	$11.04	$22.55
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.92 / $23.92 / $23.92	Professional	TC	$23.92	$23.92	$23.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.23 / $237.43 / $332.40	Facility		$46.23	$237.43	$332.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.30 / $32.54	Facility	26	$12.30	$12.30	$32.54
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $34.29 / $34.29 / $73.45	Facility	TC	$34.29	$34.29	$73.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $43.01 / $79.44	Professional		$28.20	$43.01	$79.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.57 / $12.92 / $22.78	Professional	26	$7.57	$12.92	$22.78
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $49.64 / $49.64 / $49.64	Professional	50	$49.64	$49.64	$49.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.64 / $30.29 / $59.44	Professional	TC	$20.64	$30.29	$59.44
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $46.08 / $91.49 / $144.51	Facility		$46.08	$91.49	$144.51
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $12.19 / $12.19 / $12.19	Facility	26	$12.19	$12.19	$12.19
Florida Blue Facility/Professional Facility Modifier TC Low / Median / High Price $29.21 / $29.21 / $29.21	Facility	TC	$29.21	$29.21	$29.21
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $42.24 / $54.57	Professional		$28.85	$42.24	$54.57
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $7.75 / $12.37 / $16.00	Professional	26	$7.75	$12.37	$16.00
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $20.96 / $29.76 / $38.79	Professional	TC	$20.96	$29.76	$38.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $33.59 / $56.21	Professional		$17.17	$33.59	$56.21
United Facility/Professional Professional Modifier Low / Median / High Price $29.77 / $34.79 / $68.63	Professional		$29.77	$34.79	$68.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.89 / $10.02 / $20.99	Professional	26	$8.89	$10.02	$20.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.70 / $24.15 / $49.38	Professional	TC	$20.70	$24.15	$49.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $22.43 / $22.43	Professional		$22.43	$22.43	$22.43
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.79 / $5.79 / $5.79	Professional	26	$5.79	$5.79	$5.79
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $16.64 / $16.64 / $16.64	Professional	TC	$16.64	$16.64	$16.64