Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.05 / $155.47 / $1,002.73	Facility		$49.05	$155.47	$1,002.73
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.16 / $15.84 / $45.03	Facility	26	$9.16	$15.84	$45.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.49 / $34.14 / $66.81	Professional		$24.49	$34.14	$66.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $13.74 / $54.71	Professional	26	$9.16	$13.74	$54.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.33 / $20.28 / $34.97	Professional	TC	$15.33	$20.28	$34.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $28.85 / $30.31	Professional		$27.29	$28.85	$30.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $16.07 / $27.49	Professional	26	$10.47	$16.07	$27.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $41.88 / $47.23	Facility		$29.54	$41.88	$47.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.88 / $15.88 / $42.02	Facility	26	$15.88	$15.88	$42.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.83 / $34.71 / $73.42	Professional		$25.83	$34.71	$73.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.28 / $15.17 / $30.01	Professional	26	$10.28	$15.17	$30.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.06 / $20.02 / $44.90	Professional	TC	$15.06	$20.02	$44.90
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $20.11 / $20.91 / $32.90	Facility		$20.11	$20.91	$32.90
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $15.32 / $15.32 / $15.32	Facility	26	$15.32	$15.32	$15.32
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $35.38 / $47.57	Professional		$25.10	$35.38	$47.57
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $15.70 / $20.48	Professional	26	$9.16	$15.70	$20.48
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $13.19 / $18.36 / $27.26	Professional	TC	$13.19	$18.36	$27.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $35.12 / $56.21	Professional		$15.36	$35.12	$56.21
United Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $30.50 / $52.86	Professional		$26.02	$30.50	$52.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.49 / $12.90 / $22.37	Professional	26	$11.49	$12.90	$22.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.41 / $18.01 / $31.89	Professional	TC	$14.41	$18.01	$31.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $18.72 / $18.72	Professional		$18.72	$18.72	$18.72
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.67 / $6.67 / $6.67	Professional	26	$6.67	$6.67	$6.67
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $12.05 / $12.05 / $12.05	Professional	TC	$12.05	$12.05	$12.05