Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.91 / $9.94 / $40.70	Facility	26	$7.91	$9.94	$40.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $40.39 / $63.40	Professional		$28.26	$40.39	$63.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.91 / $10.07 / $17.96	Professional	26	$7.91	$10.07	$17.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.34 / $29.36 / $42.71	Professional	TC	$20.34	$29.36	$42.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.60 / $35.02 / $68.14	Professional		$26.60	$35.02	$68.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.80 / $16.95 / $23.94	Professional	26	$8.80	$16.95	$23.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $31.53	Facility	26	$13.50	$13.50	$31.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $46.01 / $88.25	Professional		$30.25	$46.01	$88.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.14 / $12.31 / $23.20	Professional	26	$8.14	$12.31	$23.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.97 / $34.51 / $66.95	Professional	TC	$21.97	$34.51	$66.95
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $11.46 / $11.46 / $11.46	Facility	26	$11.46	$11.46	$11.46
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $29.49 / $45.76 / $56.56	Professional		$29.49	$45.76	$56.56
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $8.10 / $12.32 / $15.04	Professional	26	$8.10	$12.32	$15.04
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $21.19 / $33.22 / $41.71	Professional	TC	$21.19	$33.22	$41.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $33.59 / $56.73	Professional		$18.70	$33.59	$56.73
United Facility/Professional Professional Modifier Low / Median / High Price $31.14 / $36.76 / $76.23	Professional		$31.14	$36.76	$76.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.25 / $10.36 / $22.28	Professional	26	$8.25	$10.36	$22.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.34 / $28.13 / $54.02	Professional	TC	$22.34	$28.13	$54.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $23.16 / $23.16	Professional		$23.16	$23.16	$23.16
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.05 / $6.05 / $6.05	Professional	26	$6.05	$6.05	$6.05
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $17.11 / $17.11 / $17.11	Professional	TC	$17.11	$17.11	$17.11