Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.21 / $36.75 / $129.63	Facility	26	$32.21	$36.75	$129.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.84 / $127.26 / $313.76	Professional		$96.84	$127.26	$313.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.41 / $36.75 / $159.96	Professional	26	$27.41	$36.75	$159.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.09 / $91.50 / $162.38	Professional	TC	$60.09	$91.50	$162.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.65 / $80.47 / $236.62	Professional		$77.65	$80.47	$236.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.00 / $47.74 / $64.88	Professional	26	$13.00	$47.74	$64.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $131.15 / $275.56	Professional		$80.42	$131.15	$275.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.57 / $38.65 / $81.14	Professional	26	$21.57	$38.65	$81.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.76 / $83.86 / $204.86	Professional	TC	$57.76	$83.86	$204.86
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $92.67 / $118.52 / $241.41	Professional		$92.67	$118.52	$241.41
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $27.71 / $30.25 / $59.37	Professional	26	$27.71	$30.25	$59.37
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $39.46 / $85.83 / $160.09	Professional	TC	$39.46	$85.83	$160.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.24 / $161.47 / $223.01	Professional		$41.24	$161.47	$223.01
United Facility/Professional Professional Modifier Low / Median / High Price $78.03 / $105.89 / $365.64	Professional		$78.03	$105.89	$365.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.93 / $29.67 / $99.88	Professional	26	$20.93	$29.67	$99.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.08 / $78.65 / $230.00	Professional	TC	$43.08	$78.65	$230.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $133.26 / $133.26 / $133.26	Professional		$133.26	$133.26	$133.26
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $31.66 / $31.66 / $31.66	Professional	26	$31.66	$31.66	$31.66
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $101.60 / $101.60 / $101.60	Professional	TC	$101.60	$101.60	$101.60