Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.04 / $19.73 / $82.49	Facility	26	$16.04	$19.73	$82.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $42.20 / $110.05	Professional		$29.99	$42.20	$110.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.04 / $21.65 / $49.64	Professional	26	$16.04	$21.65	$49.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.96 / $20.39 / $41.32	Professional	TC	$13.96	$20.39	$41.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $47.45 / $109.60	Professional		$33.15	$47.45	$109.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.68 / $29.15 / $42.09	Professional	26	$19.68	$29.15	$42.09
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.62 / $16.17 / $25.68	Professional	TC	$14.62	$16.17	$25.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.99 / $26.99 / $74.93	Facility	26	$26.99	$26.99	$74.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.83 / $51.17 / $107.83	Professional		$30.83	$51.17	$107.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.44 / $26.43 / $53.00	Professional	26	$16.44	$26.43	$53.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.39 / $24.13 / $65.28	Professional	TC	$14.39	$24.13	$65.28
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $27.79 / $27.79 / $27.79	Facility	26	$27.79	$27.79	$27.79
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $55.46 / $91.30	Professional		$29.01	$55.46	$91.30
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $15.70 / $26.91 / $36.09	Professional	26	$15.70	$26.91	$36.09
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $13.32 / $25.09 / $64.28	Professional	TC	$13.32	$25.09	$64.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $45.28 / $88.94	Professional		$26.61	$45.28	$88.94
United Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $45.46 / $87.30	Professional		$35.04	$45.46	$87.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.91 / $21.20 / $39.21	Professional	26	$18.91	$21.20	$39.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.04 / $22.02 / $49.42	Professional	TC	$16.04	$22.02	$49.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.18 / $27.18 / $27.18	Professional		$27.18	$27.18	$27.18
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $14.20 / $14.20 / $14.20	Professional	26	$14.20	$14.20	$14.20
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $12.98 / $12.98 / $12.98	Professional	TC	$12.98	$12.98	$12.98