Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.12 / $18.30 / $57.17	Facility	26	$11.12	$18.30	$57.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.97 / $41.18 / $59.85	Professional		$29.97	$41.18	$59.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.12 / $14.76 / $22.71	Professional	26	$11.12	$14.76	$22.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.85 / $26.27 / $37.77	Professional	TC	$18.85	$26.27	$37.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.13 / $97.70 / $97.70	Professional		$46.13	$97.70	$97.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.07 / $30.23 / $30.23	Professional	26	$12.07	$30.23	$30.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.82 / $18.82 / $46.97	Facility	26	$18.82	$18.82	$46.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $47.10 / $89.34	Professional		$31.62	$47.10	$89.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.64 / $17.84 / $32.59	Professional	26	$11.64	$17.84	$32.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.23 / $27.20 / $62.45	Professional	TC	$19.23	$27.20	$62.45
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $17.14 / $17.14 / $17.14	Facility	26	$17.14	$17.14	$17.14
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $30.39 / $46.35 / $59.15	Professional		$30.39	$46.35	$59.15
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $11.86 / $17.14 / $24.01	Professional	26	$11.86	$17.14	$24.01
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $26.16 / $37.97	Professional	TC	$17.78	$26.16	$37.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $33.46 / $56.57	Professional		$16.38	$33.46	$56.57
United Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $38.86 / $79.15	Professional		$30.70	$38.86	$79.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.06 / $14.65 / $31.15	Professional	26	$12.06	$14.65	$31.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.43 / $25.51 / $48.35	Professional	TC	$17.43	$25.51	$48.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $22.11 / $22.11	Professional		$22.11	$22.11	$22.11
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.68 / $7.68 / $7.68	Professional	26	$7.68	$7.68	$7.68
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $14.43 / $14.43 / $14.43	Professional	TC	$14.43	$14.43	$14.43