Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.77 / $11.04 / $42.28	Facility	26	$8.77	$11.04	$42.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $50.32 / $113.76	Professional		$33.40	$50.32	$113.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.78 / $13.61 / $36.17	Professional	26	$8.78	$13.61	$36.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.60 / $35.72 / $65.64	Professional	TC	$24.60	$35.72	$65.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $40.10 / $53.79	Professional		$32.08	$40.10	$53.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.68 / $11.05 / $21.93	Professional	26	$9.68	$11.05	$21.93
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.83 / $34.90 / $43.99	Professional	TC	$28.83	$34.90	$43.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.65 / $14.65 / $45.99	Facility	26	$14.65	$14.65	$45.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $52.97 / $102.94	Professional		$35.15	$52.97	$102.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $17.07 / $30.20	Professional	26	$9.19	$17.07	$30.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.61 / $37.13 / $76.06	Professional	TC	$25.61	$37.13	$76.06
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $16.78 / $16.78 / $16.78	Facility	26	$16.78	$16.78	$16.78
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $52.20 / $68.17	Professional		$35.09	$52.20	$68.17
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $9.24 / $16.57 / $22.03	Professional	26	$9.24	$16.57	$22.03
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $24.78 / $34.02 / $45.08	Professional	TC	$24.78	$34.02	$45.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $33.88 / $57.96	Professional		$20.74	$33.88	$57.96
United Facility/Professional Professional Modifier Low / Median / High Price $36.46 / $43.22 / $89.84	Professional		$36.46	$43.22	$89.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.20 / $13.31 / $27.14	Professional	26	$11.20	$13.31	$27.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.48 / $31.48 / $61.06	Professional	TC	$24.48	$31.48	$61.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $26.94	Professional		$26.94	$26.94	$26.94
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.36 / $6.36 / $6.36	Professional	26	$6.36	$6.36	$6.36
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $20.58 / $20.58 / $20.58	Professional	TC	$20.58	$20.58	$20.58