Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.14 / $17.29 / $148.54	Facility	26	$10.14	$17.29	$148.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.25 / $47.68 / $96.49	Professional		$33.25	$47.68	$96.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.14 / $14.28 / $29.75	Professional	26	$10.14	$14.28	$29.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.11 / $34.09 / $54.40	Professional	TC	$23.11	$34.09	$54.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.28 / $36.65 / $80.09	Professional		$31.28	$36.65	$80.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.76 / $14.69 / $31.33	Professional	26	$10.76	$14.69	$31.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.71 / $17.71 / $47.97	Facility	26	$17.71	$17.71	$47.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $53.31 / $101.84	Professional		$35.97	$53.31	$101.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.95 / $17.66 / $32.08	Professional	26	$10.95	$17.66	$32.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.09 / $37.65 / $72.56	Professional	TC	$25.09	$37.65	$72.56
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $17.51 / $17.51 / $17.51	Facility	26	$17.51	$17.51	$17.51
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $36.21 / $54.08 / $66.63	Professional		$36.21	$54.08	$66.63
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $11.17 / $17.62 / $22.98	Professional	26	$11.17	$17.62	$22.98
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $23.84 / $35.35 / $46.69	Professional	TC	$23.84	$35.35	$46.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $33.89 / $57.62	Professional		$21.35	$33.89	$57.62
United Facility/Professional Professional Modifier Low / Median / High Price $37.94 / $44.23 / $94.13	Professional		$37.94	$44.23	$94.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.84 / $14.04 / $28.86	Professional	26	$11.84	$14.04	$28.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.21 / $31.04 / $61.28	Professional	TC	$25.21	$31.04	$61.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.24 / $28.24 / $28.24	Professional		$28.24	$28.24	$28.24
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.22 / $8.22 / $8.22	Professional	26	$8.22	$8.22	$8.22
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $20.02 / $20.02 / $20.02	Professional	TC	$20.02	$20.02	$20.02