Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $13.33 / $48.68	Facility	26	$9.25	$13.33	$48.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $39.01 / $65.95	Professional		$27.89	$39.01	$65.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.25 / $12.39 / $23.20	Professional	26	$9.25	$12.39	$23.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.64 / $26.30 / $42.03	Professional	TC	$18.64	$26.30	$42.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $32.59 / $91.67	Professional		$26.07	$32.59	$91.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.56 / $16.50 / $29.41	Professional	26	$10.56	$16.50	$29.41
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.41 / $23.41 / $23.41	Professional	TC	$23.41	$23.41	$23.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.80 / $15.80 / $42.56	Facility	26	$15.80	$15.80	$42.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $44.15 / $84.20	Professional		$29.27	$44.15	$84.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.68 / $15.21 / $27.97	Professional	26	$9.68	$15.21	$27.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.22 / $29.85 / $59.06	Professional	TC	$20.22	$29.85	$59.06
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $14.35 / $14.35 / $14.35	Facility	26	$14.35	$14.35	$14.35
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $43.57 / $55.27	Professional		$28.51	$43.57	$55.27
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $9.69 / $15.28 / $18.91	Professional	26	$9.69	$15.28	$18.91
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $19.27 / $28.64 / $35.97	Professional	TC	$19.27	$28.64	$35.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $33.48 / $56.57	Professional		$16.87	$33.48	$56.57
United Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $35.79 / $76.52	Professional		$30.23	$35.79	$76.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.34 / $12.55 / $25.92	Professional	26	$10.34	$12.55	$25.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.16 / $24.00 / $49.07	Professional	TC	$19.16	$24.00	$49.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $22.32 / $22.32	Professional		$22.32	$22.32	$22.32
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.93 / $6.93 / $6.93	Professional	26	$6.93	$6.93	$6.93
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $15.39 / $15.39 / $15.39	Professional	TC	$15.39	$15.39	$15.39