Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.51 / $10.00 / $43.65	Facility	26	$8.51	$10.00	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $41.69 / $123.03	Professional		$23.44	$41.69	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $16.60 / $41.69	Professional	26	$8.91	$16.60	$41.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.84 / $64.57	Professional	TC	$19.05	$28.84	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $64.57	Professional		$25.12	$32.36	$64.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $13.18 / $21.38	Professional	26	$9.55	$13.18	$21.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $26.92 / $41.69	Professional	TC	$18.20	$26.92	$41.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.09 / $14.45 / $25.12	Facility	26	$3.09	$14.45	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.90 / $79.43	Professional		$27.54	$38.90	$79.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.13 / $28.84	Professional	26	$8.91	$14.13	$28.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $26.92 / $58.88	Professional	TC	$18.62	$26.92	$58.88
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $14.45 / $14.45	Facility	26	$14.45	$14.45	$14.45
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $54.95	Professional		$28.84	$36.31	$54.95
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $12.88 / $19.05	Professional	26	$9.12	$12.88	$19.05
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $22.39 / $35.48	Professional	TC	$17.78	$22.39	$35.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $27.54 / $41.69	Professional		$8.32	$27.54	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $64.57	Professional		$28.84	$36.31	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $11.75 / $22.39	Professional	26	$10.00	$11.75	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $23.99 / $42.66	Professional	TC	$19.05	$23.99	$42.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $40.74	Professional		$23.99	$23.99	$40.74
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $7.24 / $12.88	Professional	26	$7.24	$7.24	$12.88
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $16.60 / $28.18	Professional	TC	$16.60	$16.60	$28.18