Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.33 / $14.46 / $16.77	Facility	26	$14.33	$14.46	$16.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $60.55 / $140.24	Professional		$42.59	$60.55	$140.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.46 / $20.48 / $79.41	Professional	26	$14.46	$20.48	$79.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.13 / $38.45 / $69.20	Professional	TC	$28.13	$38.45	$69.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $53.85 / $86.14	Professional		$37.35	$53.85	$86.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.65 / $22.33 / $35.02	Professional	26	$13.65	$22.33	$35.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.10 / $20.10 / $52.64	Facility	26	$20.10	$20.10	$52.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.35 / $73.65 / $131.65	Professional		$41.35	$73.65	$131.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.63 / $25.23 / $44.68	Professional	26	$16.63	$25.23	$44.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.12 / $50.84 / $94.08	Professional	TC	$30.12	$50.84	$94.08
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $19.03 / $19.03 / $19.03	Facility	26	$19.03	$19.03	$19.03
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $61.64 / $95.17	Professional		$32.68	$61.64	$95.17
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $11.70 / $20.05 / $26.54	Professional	26	$11.70	$20.05	$26.54
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $20.98 / $40.25 / $67.27	Professional	TC	$20.98	$40.25	$67.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.04 / $36.95 / $61.58	Professional		$25.04	$36.95	$61.58
United Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $68.79 / $122.64	Professional		$42.10	$68.79	$122.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.87 / $21.36 / $35.97	Professional	26	$14.87	$21.36	$35.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.03 / $46.76 / $86.37	Professional	TC	$28.03	$46.76	$86.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $38.29 / $38.29	Professional		$38.29	$38.29	$38.29
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $13.28 / $13.28 / $13.28	Professional	26	$13.28	$13.28	$13.28
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $25.02 / $25.02 / $31.89	Professional	TC	$25.02	$25.02	$31.89