Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.90 / $8.65 / $81.63	Facility	26	$5.90	$8.65	$81.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $27.71 / $55.60	Professional		$20.07	$27.71	$55.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.90 / $7.88 / $22.50	Professional	26	$5.90	$7.88	$22.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.17 / $19.64 / $31.83	Professional	TC	$14.17	$19.64	$31.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $23.42 / $47.98	Professional		$20.49	$23.42	$47.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $10.11 / $17.84	Professional	26	$6.61	$10.11	$17.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $24.50	Facility	26	$10.01	$10.01	$24.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $29.52 / $57.61	Professional		$19.98	$29.52	$57.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $9.51 / $17.54	Professional	26	$6.17	$9.51	$17.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.80 / $21.05 / $41.74	Professional	TC	$14.80	$21.05	$41.74
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $8.93 / $8.93 / $8.93	Facility	26	$8.93	$8.93	$8.93
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $29.16 / $40.03	Professional		$20.49	$29.16	$40.03
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $6.25 / $9.60 / $11.95	Professional	26	$6.25	$9.60	$11.95
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $14.59 / $19.14 / $28.83	Professional	TC	$14.59	$19.14	$28.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $33.26 / $55.11	Professional		$13.23	$33.26	$55.11
United Facility/Professional Professional Modifier Low / Median / High Price $20.78 / $25.42 / $51.41	Professional		$20.78	$25.42	$51.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.63 / $7.76 / $15.66	Professional	26	$6.63	$7.76	$15.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.04 / $17.76 / $37.58	Professional	TC	$14.04	$17.76	$37.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $16.63 / $16.63	Professional		$16.63	$16.63	$16.63
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $4.59 / $4.59 / $4.59	Professional	26	$4.59	$4.59	$4.59
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $12.03 / $12.03 / $12.03	Professional	TC	$12.03	$12.03	$12.03