Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.49 / $17.78 / $70.79	Facility	26	$15.49	$17.78	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $67.61 / $199.53	Professional		$32.36	$67.61	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $44.67 / $141.25	Professional	26	$16.98	$44.67	$141.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $36.31 / $107.15 / $234.42	Professional	50	$36.31	$107.15	$234.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.12 / $25.12 / $64.57	Professional	TC	$9.12	$25.12	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $51.29 / $83.18	Professional		$41.69	$51.29	$83.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $30.90 / $56.23	Professional	26	$24.55	$30.90	$56.23
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $79.43 / $79.43 / $125.89	Professional	50	$79.43	$79.43	$125.89
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $26.30 / $41.69	Professional	TC	$19.50	$26.30	$41.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $37.15 / $64.57	Facility	26	$7.94	$37.15	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $44.67 / $104.71	Professional		$27.54	$44.67	$104.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $26.30 / $56.23	Professional	26	$17.38	$26.30	$56.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $6.76 / $15.85 / $57.54	Professional	TC	$6.76	$15.85	$57.54
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $26.30 / $26.30	Facility	26	$26.30	$26.30	$26.30
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.02 / $60.26	Professional		$24.55	$38.02	$60.26
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $23.44 / $38.90	Professional	26	$16.98	$23.44	$38.90
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $8.32 / $12.88 / $24.55	Professional	TC	$8.32	$12.88	$24.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $25.12 / $38.90	Professional		$12.02	$25.12	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $44.67 / $81.28	Professional		$26.30	$44.67	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $20.89 / $38.90	Professional	26	$17.38	$20.89	$38.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.51 / $23.44 / $42.66	Professional	TC	$8.51	$23.44	$42.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $63.10	Professional		$23.44	$23.44	$63.10
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $12.02 / $32.36	Professional	26	$12.02	$12.02	$32.36
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $11.75 / $30.90	Professional	TC	$11.75	$11.75	$30.90