Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.55 / $12.94 / $33.69	Facility	26	$6.55	$12.94	$33.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $27.54 / $41.17	Professional		$20.51	$27.54	$41.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.55 / $8.73 / $13.56	Professional	26	$6.55	$8.73	$13.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.96 / $18.98 / $27.81	Professional	TC	$13.96	$18.98	$27.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $19.14 / $20.93	Professional		$16.67	$19.14	$20.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $8.96 / $16.86	Professional	26	$7.36	$8.96	$16.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.79 / $10.79 / $30.47	Facility	26	$10.79	$10.79	$30.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $32.97 / $61.34	Professional		$22.01	$32.97	$61.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.86 / $10.85 / $19.97	Professional	26	$6.86	$10.85	$19.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.28 / $22.82 / $44.26	Professional	TC	$15.28	$22.82	$44.26
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $11.11 / $11.11 / $11.11	Facility	26	$11.11	$11.11	$11.11
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $33.89 / $40.90	Professional		$22.40	$33.89	$40.90
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $6.96 / $11.11 / $14.58	Professional	26	$6.96	$11.11	$14.58
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $14.53 / $22.39 / $28.42	Professional	TC	$14.53	$22.39	$28.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $33.40 / $55.11	Professional		$13.58	$33.40	$55.11
United Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $26.72 / $54.11	Professional		$22.93	$26.72	$54.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.35 / $8.85 / $18.22	Professional	26	$7.35	$8.85	$18.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.90 / $18.30 / $36.42	Professional	TC	$14.90	$18.30	$36.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $17.69 / $17.69	Professional		$17.69	$17.69	$17.69
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.16 / $5.16 / $5.16	Professional	26	$5.16	$5.16	$5.16
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $12.53 / $12.53 / $12.53	Professional	TC	$12.53	$12.53	$12.53