Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $22.91 / $102.33	Facility	26	$19.95	$22.91	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $89.13 / $323.59	Professional		$43.65	$89.13	$323.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $39.81 / $104.71	Professional	26	$19.95	$39.81	$104.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $138.04 / $138.04	Professional	50	$138.04	$138.04	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $24.55 / $107.15	Professional	TC	$10.96	$24.55	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $42.66 / $54.95	Professional		$33.11	$42.66	$54.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $40.74 / $57.54	Professional	26	$31.62	$40.74	$57.54
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $7.76 / $8.13 / $10.47	Professional	TC	$7.76	$8.13	$10.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $48.98 / $83.18	Facility	26	$10.47	$48.98	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $95.50 / $186.21	Professional		$38.90	$95.50	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $35.48 / $72.44	Professional	26	$22.91	$35.48	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $7.76 / $64.57 / $134.90	Professional	TC	$7.76	$64.57	$134.90
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $33.11 / $33.11	Facility	26	$33.11	$33.11	$33.11
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $97.72 / $154.88	Professional		$38.90	$97.72	$154.88
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $30.90 / $50.12	Professional	26	$23.44	$30.90	$50.12
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $7.94 / $72.44 / $112.20	Professional	TC	$7.94	$72.44	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $33.11 / $60.26	Professional		$9.33	$33.11	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $158.49	Professional		$61.66	$93.33	$158.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $28.18 / $51.29	Professional	26	$23.99	$28.18	$51.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $66.07 / $112.20	Professional	TC	$35.48	$66.07	$112.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $53.70	Professional		$44.67	$44.67	$53.70
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $36.31 / $42.66	Professional	26	$36.31	$36.31	$42.66
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $8.91 / $10.72	Professional	TC	$8.91	$8.91	$10.72