Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.20 / $5.80 / $20.02	Facility	26	$5.20	$5.80	$20.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.20 / $6.66 / $26.13	Professional	26	$5.20	$6.66	$26.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.27 / $20.53 / $70.70	Professional	TC	$16.27	$20.53	$70.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.90 / $31.79 / $39.10	Professional	26	$21.90	$31.79	$39.10
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $65.06 / $65.06 / $65.06	Professional	TC	$65.06	$65.06	$65.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.15 / $28.15 / $28.15	Facility	26	$28.15	$28.15	$28.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.19 / $34.36 / $69.19	Professional	26	$22.19	$34.36	$69.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.86 / $106.01 / $215.32	Professional	TC	$67.86	$106.01	$215.32
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $16.48 / $17.66 / $28.12	Professional	26	$16.48	$17.66	$28.12
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $53.92 / $83.55	Professional	TC	$48.98	$53.92	$83.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.37 / $28.92 / $43.11	Professional	26	$18.37	$28.92	$43.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.04 / $101.17 / $156.11	Professional	TC	$55.04	$101.17	$156.11
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.70 / $5.70 / $5.70	Professional	26	$5.70	$5.70	$5.70
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $17.88 / $17.88 / $17.88	Professional	TC	$17.88	$17.88	$17.88