Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $10.96 / $45.71	Facility	26	$7.94	$10.96	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $46.77 / $117.49	Professional		$30.90	$46.77	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $12.88 / $34.67	Professional	26	$8.51	$12.88	$34.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $30.90 / $67.61	Professional	TC	$21.38	$30.90	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $79.43	Professional		$30.90	$34.67	$79.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $10.47 / $19.95	Professional	26	$9.12	$10.47	$19.95
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $25.12 / $32.36	Professional	TC	$20.42	$25.12	$32.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.02 / $14.13 / $23.99	Facility	26	$3.02	$14.13	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $43.65 / $91.20	Professional		$30.20	$43.65	$91.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $13.80 / $28.18	Professional	26	$8.71	$13.80	$28.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $32.36 / $67.61	Professional	TC	$21.38	$32.36	$67.61
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $14.13 / $14.13	Facility	26	$14.13	$14.13	$14.13
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $40.74 / $61.66	Professional		$31.62	$40.74	$61.66
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $12.30 / $18.20	Professional	26	$8.71	$12.30	$18.20
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $26.92 / $42.66	Professional	TC	$21.88	$26.92	$42.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $30.90 / $47.86	Professional		$8.13	$30.90	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $70.79	Professional		$32.36	$39.81	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $11.75 / $21.88	Professional	26	$9.77	$11.75	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.18 / $50.12	Professional	TC	$21.88	$28.18	$50.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $45.71	Professional		$26.92	$26.92	$45.71
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $7.08 / $12.30	Professional	26	$7.08	$7.08	$12.30
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $19.95 / $33.11	Professional	TC	$19.95	$19.95	$33.11