Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.26 / $45.81 / $51.17	Facility	26	$45.26	$45.81	$51.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $91.99 / $163.13	Professional		$66.06	$91.99	$163.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.81 / $58.30 / $101.22	Professional	26	$45.81	$58.30	$101.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.86 / $31.15 / $53.07	Professional	TC	$18.86	$31.15	$53.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.59 / $90.96 / $149.09	Professional		$84.59	$90.96	$149.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.51 / $71.25 / $87.50	Professional	26	$51.51	$71.25	$87.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.81 / $62.81 / $62.81	Facility	26	$62.81	$62.81	$62.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.89 / $118.61 / $230.14	Professional		$81.89	$118.61	$230.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.03 / $77.83 / $152.87	Professional	26	$50.03	$77.83	$152.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.96 / $42.74 / $81.12	Professional	TC	$27.96	$42.74	$81.12
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $63.67 / $70.95 / $108.61	Professional		$63.67	$70.95	$108.61
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $36.95 / $39.58 / $64.66	Professional	26	$36.95	$39.58	$64.66
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $21.08 / $27.48 / $45.59	Professional	TC	$21.08	$27.48	$45.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $59.05 / $132.72	Professional		$29.13	$59.05	$132.72
United Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $90.21 / $165.56	Professional		$63.50	$90.21	$165.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.94 / $59.73 / $113.49	Professional	26	$41.94	$59.73	$113.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $29.84 / $57.84	Professional	TC	$19.32	$29.84	$57.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.79 / $73.79 / $73.79	Professional		$73.79	$73.79	$73.79
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $41.87 / $41.87 / $41.87	Professional	26	$41.87	$41.87	$41.87
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $31.92 / $31.92 / $40.60	Professional	TC	$31.92	$31.92	$40.60