Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $33.11 / $36.31	Facility	26	$33.11	$33.11	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $194.98	Professional		$61.66	$93.33	$194.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $50.12 / $123.03	Professional	26	$37.15	$50.12	$123.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $38.02 / $75.86	Professional	TC	$18.20	$38.02	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $138.04	Professional		$69.18	$83.18	$138.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $50.12 / $70.79	Professional	26	$37.15	$50.12	$70.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $45.71 / $66.07	Facility	26	$10.00	$45.71	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $199.53	Professional		$66.07	$95.50	$199.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $58.88 / $117.49	Professional	26	$37.15	$58.88	$117.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $39.81 / $79.43	Professional	TC	$25.12	$39.81	$79.43
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $56.23 / $83.18	Professional		$28.18	$56.23	$83.18
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $29.51 / $46.77	Professional	26	$19.05	$29.51	$46.77
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $9.12 / $25.70 / $39.81	Professional	TC	$9.12	$25.70	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $112.20	Professional		$32.36	$48.98	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $131.83	Professional		$50.12	$72.44	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $44.67 / $81.28	Professional	26	$32.36	$44.67	$81.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $27.54 / $50.12	Professional	TC	$16.60	$27.54	$50.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $75.86	Professional		$60.26	$60.26	$75.86
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $30.90 / $39.81	Professional	26	$30.90	$30.90	$39.81
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $28.84 / $36.31	Professional	TC	$28.84	$28.84	$36.31