Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $288.40 / $724.44	Facility		$44.67	$288.40	$724.44
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.62 / $9.33 / $263.03	Facility	26	$5.62	$9.33	$263.03
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.62 / $134.90 / $436.52	Facility	TC	$18.62	$134.90	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $37.15 / $109.65	Professional		$10.96	$37.15	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.88 / $43.65	Professional	26	$7.08	$12.88	$43.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $34.67 / $87.10 / $199.53	Professional	50	$34.67	$87.10	$199.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.90 / $30.90 / $30.90	Professional	52	$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $33.11 / $75.86	Professional	TC	$18.20	$33.11	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $29.51 / $53.70	Professional		$22.91	$29.51	$53.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $8.91 / $14.45	Professional	26	$6.17	$8.91	$14.45
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $32.36 / $45.71 / $79.43	Professional	50	$32.36	$45.71	$79.43
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $23.99 / $40.74	Professional	TC	$17.78	$23.99	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $104.71 / $177.83	Facility		$41.69	$104.71	$177.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.04 / $9.55 / $16.22	Facility	26	$2.04	$9.55	$16.22
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $6.46 / $30.20 / $43.65	Facility	TC	$6.46	$30.20	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $67.61	Professional		$23.44	$33.11	$67.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $9.33 / $19.05	Professional	26	$5.89	$9.33	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $24.55 / $54.95	Professional	TC	$16.98	$24.55	$54.95
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $61.66 / $114.82	Facility		$19.95	$61.66	$114.82
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $9.33 / $9.33	Facility	26	$9.33	$9.33	$9.33
Florida Blue Facility/Professional Facility Modifier TC Low / Median / High Price $23.44 / $23.44 / $23.44	Facility	TC	$23.44	$23.44	$23.44
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.84 / $47.86	Professional		$24.55	$28.84	$47.86
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $8.13 / $12.02	Professional	26	$5.89	$8.13	$12.02
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $21.38 / $35.48	Professional	TC	$17.38	$21.38	$35.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $23.44 / $38.02	Professional		$5.25	$23.44	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $69.18 / $144.54	Facility		$12.30	$69.18	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.51 / $53.70	Professional		$23.99	$29.51	$53.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $7.76 / $14.79	Professional	26	$6.61	$7.76	$14.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $21.38 / $39.81	Professional	TC	$16.98	$21.38	$39.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $36.31	Professional		$20.42	$20.42	$36.31
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $4.68 / $4.68 / $8.32	Professional	26	$4.68	$4.68	$8.32
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $15.85 / $27.54	Professional	TC	$15.85	$15.85	$27.54