Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $7.41 / $33.11	Facility	26	$6.03	$7.41	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $85.11	Professional		$21.88	$33.88	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $10.00 / $27.54	Professional	26	$6.31	$10.00	$27.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $21.88 / $46.77	Professional	TC	$15.14	$21.88	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $72.44	Professional		$19.95	$25.12	$72.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.96 / $17.78	Professional	26	$7.08	$10.96	$17.78
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $43.65 / $43.65	Professional	TC	$43.65	$43.65	$43.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.29 / $10.72 / $18.20	Facility	26	$2.29	$10.72	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $31.62 / $64.57	Professional		$22.39	$31.62	$64.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $10.72 / $21.88	Professional	26	$6.61	$10.72	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $22.91 / $50.12	Professional	TC	$16.22	$22.91	$50.12
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $10.72 / $10.72	Facility	26	$10.72	$10.72	$10.72
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.84 / $44.67	Professional		$22.39	$28.84	$44.67
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $9.55 / $13.49	Professional	26	$6.61	$9.55	$13.49
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $18.62 / $30.20	Professional	TC	$15.14	$18.62	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $21.88 / $34.67	Professional		$6.17	$21.88	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.51 / $53.70	Professional		$23.99	$29.51	$53.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $8.91 / $16.98	Professional	26	$7.59	$8.91	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $19.95 / $36.31	Professional	TC	$15.85	$19.95	$36.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $32.36	Professional		$19.05	$19.05	$32.36
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $5.37 / $9.33	Professional	26	$5.37	$5.37	$9.33
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $13.80 / $22.91	Professional	TC	$13.80	$13.80	$22.91