Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $10.23 / $40.74	Facility	26	$8.71	$10.23	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $67.61 / $181.97	Professional		$36.31	$67.61	$181.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $19.05 / $50.12	Professional	26	$10.00	$19.05	$50.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $40.74 / $87.10	Professional	TC	$25.70	$40.74	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $79.43	Professional		$33.88	$43.65	$79.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $12.59 / $21.38	Professional	26	$9.77	$12.59	$21.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $33.11 / $50.12	Professional	TC	$25.70	$33.11	$50.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.16 / $14.79 / $25.70	Facility	26	$3.16	$14.79	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $102.33	Professional		$34.67	$51.29	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $16.22 / $31.62	Professional	26	$9.12	$16.22	$31.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $36.31 / $79.43	Professional	TC	$25.70	$36.31	$79.43
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $16.60 / $16.60	Facility	26	$16.60	$16.60	$16.60
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $69.18	Professional		$35.48	$44.67	$69.18
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $14.79 / $21.38	Professional	26	$9.33	$14.79	$21.38
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $30.90 / $48.98	Professional	TC	$22.91	$30.90	$48.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $32.36 / $53.70	Professional		$7.94	$32.36	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $81.28	Professional		$36.31	$44.67	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $13.18 / $24.55	Professional	26	$11.22	$13.18	$24.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $31.62 / $57.54	Professional	TC	$25.12	$31.62	$57.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $53.70	Professional		$29.51	$29.51	$53.70
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $7.08 / $13.18	Professional	26	$7.08	$7.08	$13.18
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $22.39 / $40.74	Professional	TC	$22.39	$22.39	$40.74