Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.46 / $11.48 / $45.51	Facility	26	$9.46	$11.48	$45.51
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.39 / $100.08 / $382.04	Facility	TC	$24.39	$100.08	$382.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.85 / $47.66 / $99.60	Professional		$33.85	$47.66	$99.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.46 / $13.68 / $33.95	Professional	26	$9.46	$13.68	$33.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.39 / $33.14 / $59.05	Professional	TC	$24.39	$33.14	$59.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $40.13 / $82.22	Professional		$33.79	$40.13	$82.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.42 / $14.51 / $28.63	Professional	26	$10.42	$14.51	$28.63
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.69 / $29.34 / $51.08	Professional	TC	$28.69	$29.34	$51.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.14 / $16.14 / $43.97	Facility	26	$16.14	$16.14	$43.97
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $44.74 / $44.74 / $94.16	Facility	TC	$44.74	$44.74	$94.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $53.65 / $99.35	Professional		$36.54	$53.65	$99.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.90 / $16.88 / $29.79	Professional	26	$9.90	$16.88	$29.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.65 / $37.04 / $74.34	Professional	TC	$25.65	$37.04	$74.34
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $16.07 / $16.07 / $16.07	Facility	26	$16.07	$16.07	$16.07
Florida Blue Facility/Professional Facility Modifier TC Low / Median / High Price $35.07 / $35.07 / $35.07	Facility	TC	$35.07	$35.07	$35.07
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $51.93 / $68.14	Professional		$36.97	$51.93	$68.14
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $10.13 / $16.22 / $21.09	Professional	26	$10.13	$16.22	$21.09
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $25.66 / $35.31 / $50.42	Professional	TC	$25.66	$35.31	$50.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.82 / $33.89 / $58.74	Professional		$20.82	$33.89	$58.74
United Facility/Professional Professional Modifier Low / Median / High Price $37.07 / $42.83 / $86.73	Professional		$37.07	$42.83	$86.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.33 / $13.70 / $27.58	Professional	26	$11.33	$13.70	$27.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $30.45 / $62.78	Professional	TC	$25.12	$30.45	$62.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $29.04 / $29.04	Professional		$29.04	$29.04	$29.04
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.53 / $7.53 / $7.53	Professional	26	$7.53	$7.53	$7.53
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $21.51 / $21.51 / $21.51	Professional	TC	$21.51	$21.51	$21.51