Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.69 / $12.36 / $40.63	Facility	26	$7.69	$12.36	$40.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.78 / $46.72 / $74.87	Professional		$33.78	$46.72	$74.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.69 / $10.61 / $17.26	Professional	26	$7.69	$10.61	$17.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.09 / $35.70 / $53.89	Professional	TC	$26.09	$35.70	$53.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $36.86 / $110.59	Professional		$31.46	$36.86	$110.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.65 / $16.46 / $18.27	Professional	26	$8.65	$16.46	$18.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.10 / $13.10 / $35.54	Facility	26	$13.10	$13.10	$35.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.21 / $50.85 / $95.74	Professional		$35.21	$50.85	$95.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.03 / $13.45 / $24.50	Professional	26	$8.03	$13.45	$24.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.50 / $39.03 / $74.54	Professional	TC	$26.50	$39.03	$74.54
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $13.27 / $13.27 / $13.27	Facility	26	$13.27	$13.27	$13.27
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $34.45 / $50.18 / $66.95	Professional		$34.45	$50.18	$66.95
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $13.72 / $17.42	Professional	26	$8.09	$13.72	$17.42
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $26.72 / $36.90 / $52.50	Professional	TC	$26.72	$36.90	$52.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $33.89 / $58.10	Professional		$20.74	$33.89	$58.10
United Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $43.08 / $88.53	Professional		$35.75	$43.08	$88.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.14 / $10.69 / $22.14	Professional	26	$9.14	$10.69	$22.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.29 / $33.04 / $68.81	Professional	TC	$26.29	$33.04	$68.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $28.08 / $28.08	Professional		$28.08	$28.08	$28.08
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.01 / $6.01 / $6.01	Professional	26	$6.01	$6.01	$6.01
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $22.08 / $22.08 / $22.08	Professional	TC	$22.08	$22.08	$22.08