Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.67 / $9.34 / $29.17	Facility	26	$5.67	$9.34	$29.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.48 / $28.35 / $50.36	Professional		$20.48	$28.35	$50.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.67 / $7.63 / $11.74	Professional	26	$5.67	$7.63	$11.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.81 / $20.50 / $32.88	Professional	TC	$14.81	$20.50	$32.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $24.35 / $30.16	Professional		$19.30	$24.35	$30.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.26 / $10.94 / $17.75	Professional	26	$6.26	$10.94	$17.75
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.60 / $17.60 / $17.60	Professional	TC	$17.60	$17.60	$17.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $25.48	Facility	26	$9.61	$9.61	$25.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $33.08 / $62.52	Professional		$22.07	$33.08	$62.52
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 $16.18 / $24.78 / $46.84	Professional	TC	$16.18	$24.78	$46.84
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 $22.41 / $33.52 / $41.62	Professional		$22.41	$33.52	$41.62
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 $15.86 / $23.79 / $30.49	Professional	TC	$15.86	$23.79	$30.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $33.40 / $55.11	Professional		$14.44	$33.40	$55.11
United Facility/Professional Professional Modifier Low / Median / High Price $23.22 / $26.55 / $55.33	Professional		$23.22	$26.55	$55.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.45 / $7.60 / $15.76	Professional	26	$6.45	$7.60	$15.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.10 / $19.22 / $37.54	Professional	TC	$16.10	$19.22	$37.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $17.69 / $17.69	Professional		$17.69	$17.69	$17.69
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $4.55 / $4.55 / $4.55	Professional	26	$4.55	$4.55	$4.55
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $13.13 / $13.13 / $13.13	Professional	TC	$13.13	$13.13	$13.13