Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $10.72 / $36.31	Facility	26	$6.03	$10.72	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.05 / $52.48	Professional		$12.02	$19.05	$52.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $32.36	Professional	26	$7.08	$10.00	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.01 / $7.94 / $19.50	Professional	TC	$5.01	$7.94	$19.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.79 / $33.88	Professional		$12.59	$14.79	$33.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $13.18 / $16.98	Professional	26	$7.59	$13.18	$16.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.45 / $11.48 / $19.50	Facility	26	$2.45	$11.48	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $21.38 / $44.67	Professional		$13.18	$21.38	$44.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $11.22 / $22.39	Professional	26	$6.92	$11.22	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $5.89 / $10.96 / $26.30	Professional	TC	$5.89	$10.96	$26.30
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.02 / $12.02	Facility	26	$12.02	$12.02	$12.02
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.89 / $33.11	Professional		$13.49	$20.89	$33.11
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.47 / $15.14	Professional	26	$7.08	$10.47	$15.14
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $6.46 / $9.55 / $19.95	Professional	TC	$6.46	$9.55	$19.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $15.14 / $33.11	Professional		$6.76	$15.14	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.50 / $36.31	Professional		$15.49	$19.50	$36.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.77 / $17.78	Professional	26	$7.94	$9.77	$17.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.76 / $8.91 / $19.50	Professional	TC	$6.76	$8.91	$19.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $19.05	Professional		$13.80	$13.80	$19.05
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $7.24 / $10.00	Professional	26	$7.24	$7.24	$10.00
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $6.46 / $6.46 / $9.12	Professional	TC	$6.46	$6.46	$9.12