Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.02 / $16.75 / $47.51	Facility	26	$9.02	$16.75	$47.51
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.48 / $78.48 / $270.55	Facility	TC	$19.48	$78.48	$270.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $42.46 / $69.12	Professional		$28.51	$42.46	$69.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $13.52 / $23.08	Professional	26	$9.02	$13.52	$23.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $28.17 / $46.19	Professional	TC	$19.48	$28.17	$46.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $36.18 / $68.23	Professional		$29.14	$36.18	$68.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.18 / $17.39 / $28.73	Professional	26	$10.18	$17.39	$28.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.41 / $15.41 / $51.00	Facility	26	$15.41	$15.41	$51.00
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $35.04 / $35.04 / $78.38	Facility	TC	$35.04	$35.04	$78.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $50.20 / $92.48	Professional		$30.52	$50.20	$92.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.44 / $18.25 / $32.58	Professional	26	$9.44	$18.25	$32.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.08 / $33.19 / $62.47	Professional	TC	$21.08	$33.19	$62.47
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $18.59 / $18.59 / $18.59	Facility	26	$18.59	$18.59	$18.59
Florida Blue Facility/Professional Facility Modifier TC Low / Median / High Price $29.21 / $29.21 / $29.21	Facility	TC	$29.21	$29.21	$29.21
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $51.39 / $62.74	Professional		$31.22	$51.39	$62.74
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $9.46 / $18.13 / $24.40	Professional	26	$9.46	$18.13	$24.40
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $21.18 / $32.54 / $40.89	Professional	TC	$21.18	$32.54	$40.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $33.77 / $57.12	Professional		$20.74	$33.77	$57.12
United Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $40.28 / $79.48	Professional		$34.57	$40.28	$79.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.77 / $14.35 / $27.39	Professional	26	$11.77	$14.35	$27.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.54 / $26.42 / $52.09	Professional	TC	$21.54	$26.42	$52.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $27.16 / $27.16	Professional		$27.16	$27.16	$27.16
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $8.11 / $8.11	Professional	26	$8.11	$8.11	$8.11
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $19.05 / $19.05	Professional	TC	$19.05	$19.05	$19.05