Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.02 / $12.48 / $37.21	Facility	26	$7.02	$12.48	$37.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $36.27 / $57.90	Professional		$26.30	$36.27	$57.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $9.42 / $15.71	Professional	26	$7.02	$9.42	$15.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.28 / $26.85 / $40.15	Professional	TC	$19.28	$26.85	$40.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $26.72 / $85.88	Professional		$21.37	$26.72	$85.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.89 / $8.02 / $22.55	Professional	26	$7.89	$8.02	$22.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $32.54	Facility	26	$11.95	$11.95	$32.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.24 / $40.29 / $75.33	Professional		$27.24	$40.29	$75.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.35 / $12.21 / $22.03	Professional	26	$7.35	$12.21	$22.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.27 / $29.22 / $56.96	Professional	TC	$19.27	$29.22	$56.96
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $11.82 / $11.82 / $11.82	Facility	26	$11.82	$11.82	$11.82
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $40.17 / $52.03	Professional		$27.09	$40.17	$52.03
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $12.27 / $15.52	Professional	26	$7.41	$12.27	$15.52
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $27.47 / $37.04	Professional	TC	$19.48	$27.47	$37.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $33.44 / $56.01	Professional		$16.79	$33.44	$56.01
United Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $33.38 / $71.51	Professional		$28.23	$33.38	$71.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.24 / $10.21 / $20.27	Professional	26	$8.24	$10.21	$20.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $23.47 / $48.92	Professional	TC	$19.48	$23.47	$48.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $20.41 / $20.41	Professional		$20.41	$20.41	$20.41
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.09 / $5.09 / $5.09	Professional	26	$5.09	$5.09	$5.09
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $15.30 / $15.30 / $15.30	Professional	TC	$15.30	$15.30	$15.30