Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.67 / $10.09 / $77.76	Facility	26	$5.67	$10.09	$77.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $33.35 / $62.90	Professional		$24.10	$33.35	$62.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.67 / $7.78 / $14.78	Professional	26	$5.67	$7.78	$14.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.43 / $25.57 / $40.03	Professional	TC	$18.43	$25.57	$40.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $26.27 / $29.59	Professional		$22.33	$26.27	$29.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.16 / $10.94 / $17.16	Professional	26	$6.16	$10.94	$17.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $25.48	Facility	26	$9.30	$9.30	$25.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $34.07 / $67.80	Professional		$23.93	$34.07	$67.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.94 / $9.65 / $17.26	Professional	26	$5.94	$9.65	$17.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.44 / $26.13 / $53.80	Professional	TC	$18.44	$26.13	$53.80
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $33.82 / $47.93	Professional		$24.52	$33.82	$47.93
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $6.04 / $9.72 / $12.20	Professional	26	$6.04	$9.72	$12.20
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $18.61 / $24.19 / $35.97	Professional	TC	$18.61	$24.19	$35.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $33.44 / $55.57	Professional		$16.60	$33.44	$55.57
United Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $30.07 / $61.81	Professional		$24.20	$30.07	$61.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.59 / $7.53 / $15.32	Professional	26	$6.59	$7.53	$15.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.46 / $22.60 / $46.55	Professional	TC	$17.46	$22.60	$46.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.37 / $19.37 / $19.37	Professional		$19.37	$19.37	$19.37
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $4.11 / $4.11 / $4.11	Professional	26	$4.11	$4.11	$4.11
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $15.26 / $15.26 / $15.26	Professional	TC	$15.26	$15.26	$15.26