Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.01 / $9.33 / $30.20	Facility	26	$5.01	$9.33	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.90 / $75.86	Professional		$20.89	$30.90	$75.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $8.13 / $21.38	Professional	26	$5.62	$8.13	$21.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $21.88 / $48.98	Professional	TC	$15.14	$21.88	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $48.98	Professional		$21.88	$25.70	$48.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $10.00 / $13.80	Professional	26	$5.37	$10.00	$13.80
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $19.50 / $43.65	Professional	TC	$17.38	$19.50	$43.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.04 / $9.55 / $16.22	Facility	26	$2.04	$9.55	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.90 / $63.10	Professional		$21.88	$30.90	$63.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $9.33 / $19.05	Professional	26	$5.89	$9.33	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $23.44 / $50.12	Professional	TC	$15.85	$23.44	$50.12
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $9.33 / $9.33	Facility	26	$9.33	$9.33	$9.33
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $29.51 / $43.65	Professional		$21.88	$29.51	$43.65
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $8.13 / $12.02	Professional	26	$5.89	$8.13	$12.02
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $20.42 / $31.62	Professional	TC	$16.22	$20.42	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $22.39 / $35.48	Professional		$5.75	$22.39	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.18 / $50.12	Professional		$23.44	$28.18	$50.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $7.76 / $14.79	Professional	26	$6.46	$7.76	$14.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $19.95 / $35.48	Professional	TC	$16.22	$19.95	$35.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $31.62	Professional		$19.50	$19.50	$31.62
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $5.01 / $8.32	Professional	26	$5.01	$5.01	$8.32
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $14.45 / $22.91	Professional	TC	$14.45	$14.45	$22.91