Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.02 / $14.05 / $46.38	Facility	26	$9.02	$14.05	$46.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $41.21 / $63.18	Professional		$30.64	$41.21	$63.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $12.12 / $20.36	Professional	26	$9.02	$12.12	$20.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.62 / $29.04 / $43.58	Professional	TC	$21.62	$29.04	$43.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $37.34 / $72.70	Professional		$35.49	$37.34	$72.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.18 / $14.99 / $21.11	Professional	26	$10.18	$14.99	$21.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.41 / $15.41 / $41.55	Facility	26	$15.41	$15.41	$41.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $46.82 / $87.55	Professional		$31.58	$46.82	$87.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.44 / $15.40 / $28.03	Professional	26	$9.44	$15.40	$28.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.86 / $32.97 / $66.77	Professional	TC	$21.86	$32.97	$66.77
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $14.71 / $14.71 / $14.71	Facility	26	$14.71	$14.71	$14.71
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $47.21 / $60.27	Professional		$31.84	$47.21	$60.27
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $9.46 / $15.45 / $19.30	Professional	26	$9.46	$15.45	$19.30
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 $19.86 / $33.59 / $56.88	Professional		$19.86	$33.59	$56.88
United Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $38.90 / $83.90	Professional		$33.20	$38.90	$83.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.63 / $12.08 / $24.55	Professional	26	$10.63	$12.08	$24.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.02 / $26.80 / $56.21	Professional	TC	$22.02	$26.80	$56.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $25.06 / $25.06	Professional		$25.06	$25.06	$25.06
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.96 / $6.96 / $6.96	Professional	26	$6.96	$6.96	$6.96
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $18.10 / $18.10 / $18.10	Professional	TC	$18.10	$18.10	$18.10