Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.47 / $12.32 / $49.84	Facility	26	$9.47	$12.32	$49.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.19 / $60.68 / $114.29	Professional		$39.19	$60.68	$114.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.47 / $14.96 / $37.35	Professional	26	$9.47	$14.96	$37.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.72 / $44.57 / $66.98	Professional	TC	$29.72	$44.57	$66.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $44.10 / $94.49	Professional		$36.75	$44.10	$94.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.78 / $18.89 / $29.32	Professional	26	$10.78	$18.89	$29.32
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $34.20 / $34.97 / $39.60	Professional	TC	$34.20	$34.97	$39.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.57 / $16.57 / $53.01	Facility	26	$16.57	$16.57	$53.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $64.44 / $121.88	Professional		$42.49	$64.44	$121.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.26 / $19.64 / $34.01	Professional	26	$10.26	$19.64	$34.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.22 / $46.78 / $93.15	Professional	TC	$32.22	$46.78	$93.15
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $19.30 / $19.30 / $19.30	Facility	26	$19.30	$19.30	$19.30
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $42.35 / $63.52 / $79.80	Professional		$42.35	$63.52	$79.80
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $10.48 / $19.07 / $25.35	Professional	26	$10.48	$19.07	$25.35
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $30.56 / $42.69 / $56.70	Professional	TC	$30.56	$42.69	$56.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $50.25 / $90.53	Professional		$26.30	$50.25	$90.53
United Facility/Professional Professional Modifier Low / Median / High Price $44.16 / $53.74 / $106.41	Professional		$44.16	$53.74	$106.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.35 / $15.02 / $28.32	Professional	26	$12.35	$15.02	$28.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.33 / $39.29 / $76.59	Professional	TC	$31.33	$39.29	$76.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.24 / $33.24 / $33.24	Professional		$33.24	$33.24	$33.24
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.60 / $7.60 / $7.60	Professional	26	$7.60	$7.60	$7.60
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $25.64 / $25.64 / $25.64	Professional	TC	$25.64	$25.64	$25.64