Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $13.49 / $51.29	Facility	26	$8.91	$13.49	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $102.33	Professional		$28.84	$41.69	$102.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $14.13 / $36.31	Professional	26	$9.33	$14.13	$36.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $26.92 / $60.26	Professional	TC	$18.62	$26.92	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $81.28	Professional		$28.18	$33.88	$81.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $19.50 / $25.70	Professional	26	$10.23	$19.50	$25.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $19.95 / $29.51	Professional	TC	$19.95	$19.95	$29.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.39 / $15.85 / $26.92	Facility	26	$3.39	$15.85	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $85.11	Professional		$28.84	$40.74	$85.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $14.45 / $30.20	Professional	26	$9.55	$14.45	$30.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $28.84 / $61.66	Professional	TC	$19.95	$28.84	$61.66
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 / $56.23	Professional		$28.84	$36.31	$56.23
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.59 / $19.05	Professional	26	$9.33	$12.59	$19.05
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $23.44 / $37.15	Professional	TC	$18.62	$23.44	$37.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $28.18 / $42.66	Professional		$8.71	$28.18	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $67.61	Professional		$30.90	$38.02	$67.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $12.59 / $23.99	Professional	26	$10.23	$12.59	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $24.55 / $44.67	Professional	TC	$19.95	$24.55	$44.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $41.69	Professional		$24.55	$24.55	$41.69
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $7.76 / $13.18	Professional	26	$7.76	$7.76	$13.18
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $16.98 / $28.18	Professional	TC	$16.98	$16.98	$28.18