Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $79.43	Facility		$50.12	$50.12	$79.43
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	26	$30.90	$30.90	$30.90
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $79.43 / $87.10 / $91.20	Facility	TC	$79.43	$87.10	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $47.86 / $234.42	Professional		$28.84	$47.86	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $24.55 / $91.20	Professional	26	$7.94	$24.55	$91.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $30.20 / $79.43	Professional	TC	$19.95	$30.20	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $57.54	Professional		$19.95	$25.70	$57.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $12.88 / $17.38	Professional	26	$5.37	$12.88	$17.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $18.62 / $19.50	Professional	TC	$14.79	$18.62	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $34.67 / $79.43	Professional		$20.42	$34.67	$79.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $9.77 / $18.62	Professional	26	$5.62	$9.77	$18.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $25.12 / $60.26	Professional	TC	$15.14	$25.12	$60.26
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $45.71 / $109.65	Professional		$38.02	$45.71	$109.65
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $12.88 / $20.42	Professional	26	$8.13	$12.88	$20.42
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $34.67 / $89.13	Professional	TC	$25.12	$34.67	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $32.36 / $43.65	Professional		$15.14	$32.36	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $13.18 / $33.11	Facility		$4.47	$13.18	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $34.67 / $107.15	Professional		$19.50	$34.67	$107.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.50 / $7.41 / $27.54	Professional	26	$5.50	$7.41	$27.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $25.70 / $69.18	Professional	TC	$14.45	$25.70	$69.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $32.36 / $32.36	Professional		$14.79	$32.36	$32.36
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $3.80 / $8.51 / $8.51	Professional	26	$3.80	$8.51	$8.51
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $23.99 / $23.99	Professional	TC	$10.96	$23.99	$23.99