Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.23 / $9.31 / $25.16	Facility	26	$5.23	$9.31	$25.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.78 / $21.53 / $37.40	Professional		$15.78	$21.53	$37.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.23 / $7.14 / $16.94	Professional	26	$5.23	$7.14	$16.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.55 / $14.78 / $23.28	Professional	TC	$10.55	$14.78	$23.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $14.62 / $16.00	Professional		$14.62	$14.62	$16.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.67 / $8.96 / $16.36	Professional	26	$5.67	$8.96	$16.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $22.48	Facility	26	$8.86	$8.86	$22.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $24.97 / $46.82	Professional		$16.73	$24.97	$46.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.48 / $8.56 / $15.66	Professional	26	$5.48	$8.56	$15.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.49 / $16.91 / $33.33	Professional	TC	$11.49	$16.91	$33.33
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $8.21 / $8.21 / $8.21	Facility	26	$8.21	$8.21	$8.21
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $25.15 / $31.33	Professional		$16.77	$25.15	$31.33
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $5.58 / $8.68 / $10.77	Professional	26	$5.58	$8.68	$10.77
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $10.82 / $16.21 / $21.36	Professional	TC	$10.82	$16.21	$21.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $33.21 / $55.11	Professional		$10.23	$33.21	$55.11
United Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $20.20 / $43.32	Professional		$17.42	$20.20	$43.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.85 / $7.06 / $14.26	Professional	26	$5.85	$7.06	$14.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.64 / $13.97 / $29.29	Professional	TC	$11.64	$13.97	$29.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.06 / $13.06	Professional		$13.06	$13.06	$13.06
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $4.11 / $4.11 / $4.11	Professional	26	$4.11	$4.11	$4.11
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $8.94 / $8.94 / $8.94	Professional	TC	$8.94	$8.94	$8.94