Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.35 / $11.08 / $44.06	Facility	26	$8.35	$11.08	$44.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.97 / $41.74 / $70.37	Professional		$29.97	$41.74	$70.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.35 / $11.58 / $19.73	Professional	26	$8.35	$11.58	$19.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.62 / $30.31 / $45.64	Professional	TC	$21.62	$30.31	$45.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.45 / $32.56 / $97.67	Professional		$26.45	$32.56	$97.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.30 / $17.61 / $26.68	Professional	26	$9.30	$17.61	$26.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.26 / $14.26 / $38.53	Facility	26	$14.26	$14.26	$38.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.06 / $45.88 / $86.10	Professional		$31.06	$45.88	$86.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.74 / $14.21 / $25.96	Professional	26	$8.74	$14.21	$25.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.86 / $33.19 / $66.77	Professional	TC	$21.86	$33.19	$66.77
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $13.99 / $13.99 / $13.99	Facility	26	$13.99	$13.99	$13.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $46.44 / $59.04	Professional		$31.32	$46.44	$59.04
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $8.77 / $14.51 / $18.36	Professional	26	$8.77	$14.51	$18.36
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $22.04 / $31.40 / $42.35	Professional	TC	$22.04	$31.40	$42.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $33.59 / $56.73	Professional		$19.72	$33.59	$56.73
United Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $38.15 / $82.00	Professional		$32.40	$38.15	$82.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $11.24 / $23.82	Professional	26	$9.75	$11.24	$23.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.74 / $26.94 / $57.15	Professional	TC	$21.74	$26.94	$57.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $24.63 / $24.63	Professional		$24.63	$24.63	$24.63
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $6.42 / $6.42	Professional	26	$6.42	$6.42	$6.42
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $18.21 / $18.21 / $18.21	Professional	TC	$18.21	$18.21	$18.21