Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.91 / $12.37 / $41.80	Facility	26	$7.91	$12.37	$41.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.62 / $38.32 / $60.76	Professional		$27.62	$38.32	$60.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.91 / $10.64 / $18.59	Professional	26	$7.91	$10.64	$18.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.71 / $27.56 / $41.34	Professional	TC	$19.71	$27.56	$41.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $32.53 / $91.49	Professional		$25.92	$32.53	$91.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.83 / $15.66 / $25.29	Professional	26	$8.83	$15.66	$25.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $36.54	Facility	26	$13.50	$13.50	$36.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.38 / $41.24 / $78.69	Professional		$28.38	$41.24	$78.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $13.77 / $25.22	Professional	26	$8.27	$13.77	$25.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $29.11 / $58.10	Professional	TC	$19.95	$29.11	$58.10
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $13.27 / $13.27 / $13.27	Facility	26	$13.27	$13.27	$13.27
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $41.00 / $55.32	Professional		$28.46	$41.00	$55.32
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $8.55 / $13.92 / $17.42	Professional	26	$8.55	$13.92	$17.42
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $20.04 / $26.28 / $38.11	Professional	TC	$20.04	$26.28	$38.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $33.48 / $56.57	Professional		$17.97	$33.48	$56.57
United Facility/Professional Professional Modifier Low / Median / High Price $29.64 / $36.11 / $74.59	Professional		$29.64	$36.11	$74.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.44 / $11.06 / $24.28	Professional	26	$9.44	$11.06	$24.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.60 / $24.34 / $50.16	Professional	TC	$19.60	$24.34	$50.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $22.53 / $22.53	Professional		$22.53	$22.53	$22.53
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.02 / $6.02 / $6.02	Professional	26	$6.02	$6.02	$6.02
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $16.51 / $16.51 / $16.51	Professional	TC	$16.51	$16.51	$16.51