Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.24 / $250.02 / $711.67	Facility		$46.24	$250.02	$711.67
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.45 / $10.00 / $28.00	Facility	26	$5.45	$10.00	$28.00
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.80 / $284.54 / $635.76	Facility	TC	$18.80	$284.54	$635.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $31.79 / $86.51	Professional		$21.74	$31.79	$86.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.45 / $8.35 / $37.82	Professional	26	$5.45	$8.35	$37.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $52.80 / $63.13 / $126.45	Professional	50	$52.80	$63.13	$126.45
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.87 / $14.10 / $20.65	Professional	52	$10.87	$14.10	$20.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.30 / $22.54 / $51.19	Professional	TC	$16.30	$22.54	$51.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.27 / $26.73 / $38.93	Professional		$20.27	$26.73	$38.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.94 / $8.26 / $16.47	Professional	26	$5.94	$8.26	$16.47
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $32.29 / $35.11 / $38.00	Professional	50	$32.29	$35.11	$38.00
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $31.00 / $35.60	Professional	TC	$18.62	$31.00	$35.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.01 / $99.23 / $163.37	Facility		$27.01	$99.23	$163.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $24.47	Facility	26	$9.19	$9.19	$24.47
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $29.46 / $29.46 / $63.58	Facility	TC	$29.46	$29.46	$63.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.59 / $32.63 / $62.63	Professional		$22.59	$32.63	$62.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.70 / $9.83 / $17.45	Professional	26	$5.70	$9.83	$17.45
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $41.91 / $41.91 / $41.91	Professional	50	$41.91	$41.91	$41.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.84 / $23.90 / $47.72	Professional	TC	$16.84	$23.90	$47.72
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $30.67 / $70.17 / $112.47	Facility		$30.67	$70.17	$112.47
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $8.94 / $8.94 / $8.94	Facility	26	$8.94	$8.94	$8.94
Florida Blue Facility/Professional Facility Modifier TC Low / Median / High Price $23.35 / $23.35 / $23.35	Facility	TC	$23.35	$23.35	$23.35
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $32.29 / $43.37	Professional		$22.17	$32.29	$43.37
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $5.82 / $9.61 / $11.74	Professional	26	$5.82	$9.61	$11.74
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $16.72 / $23.06 / $32.97	Professional	TC	$16.72	$23.06	$32.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $33.44 / $55.74	Professional		$16.95	$33.44	$55.74
United Facility/Professional Facility Modifier Low / Median / High Price $45.95 / $179.57 / $404.03	Facility		$45.95	$179.57	$404.03
United Facility/Professional Professional Modifier Low / Median / High Price $22.49 / $27.79 / $57.61	Professional		$22.49	$27.79	$57.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.59 / $8.00 / $16.28	Professional	26	$6.59	$8.00	$16.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.38 / $20.57 / $40.72	Professional	TC	$15.38	$20.57	$40.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $18.32 / $18.32	Professional		$18.32	$18.32	$18.32
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $4.26 / $4.26 / $4.26	Professional	26	$4.26	$4.26	$4.26
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $14.05 / $14.05 / $14.05	Professional	TC	$14.05	$14.05	$14.05