Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.43 / $218.90 / $578.34	Facility		$40.43	$218.90	$578.34
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.01 / $6.31 / $24.13	Facility	26	$5.01	$6.31	$24.13
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $13.10 / $69.18 / $526.62	Facility	TC	$13.10	$69.18	$526.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $27.30 / $58.70	Professional		$18.12	$27.30	$58.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $7.23 / $29.24	Professional	26	$5.01	$7.23	$29.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $58.05 / $59.40 / $111.98	Professional	50	$58.05	$59.40	$111.98
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $9.06 / $11.79 / $17.04	Professional	52	$9.06	$11.79	$17.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.10 / $18.86 / $31.10	Professional	TC	$13.10	$18.86	$31.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.43 / $21.20 / $31.80	Professional		$17.43	$21.20	$31.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.41 / $7.61 / $14.47	Professional	26	$5.41	$7.61	$14.47
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $27.83 / $31.80 / $62.89	Professional	50	$27.83	$31.80	$62.89
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $13.14 / $15.03 / $23.19	Professional	TC	$13.14	$15.03	$23.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $99.23 / $163.37	Facility		$25.17	$99.23	$163.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.51 / $8.51 / $22.53	Facility	26	$8.51	$8.51	$22.53
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $23.86 / $23.86 / $51.75	Facility	TC	$23.86	$23.86	$51.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $28.79 / $53.87	Professional		$19.39	$28.79	$53.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.25 / $8.77 / $15.48	Professional	26	$5.25	$8.77	$15.48
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.13 / $35.13 / $35.13	Professional	50	$35.13	$35.13	$35.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.17 / $21.01 / $40.65	Professional	TC	$14.17	$21.01	$40.65
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $25.80 / $66.34 / $106.33	Facility		$25.80	$66.34	$106.33
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $8.19 / $8.19 / $8.19	Facility	26	$8.19	$8.19	$8.19
Florida Blue Facility/Professional Facility Modifier TC Low / Median / High Price $18.95 / $18.95 / $18.95	Facility	TC	$18.95	$18.95	$18.95
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $29.20 / $36.31	Professional		$19.55	$29.20	$36.31
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $5.35 / $8.63 / $10.76	Professional	26	$5.35	$8.63	$10.76
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $13.58 / $20.05 / $26.76	Professional	TC	$13.58	$20.05	$26.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $33.21 / $55.11	Professional		$12.53	$33.21	$55.11
United Facility/Professional Facility Modifier Low / Median / High Price $179.57 / $179.57 / $179.57	Facility		$179.57	$179.57	$179.57
United Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $23.41 / $47.99	Professional		$20.45	$23.41	$47.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.93 / $6.81 / $14.07	Professional	26	$5.93	$6.81	$14.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.12 / $17.05 / $36.17	Professional	TC	$14.12	$17.05	$36.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $15.37 / $15.37	Professional		$15.37	$15.37	$15.37
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $3.93 / $3.93 / $3.93	Professional	26	$3.93	$3.93	$3.93
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $11.44 / $11.44 / $11.44	Professional	TC	$11.44	$11.44	$11.44