Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.91 / $12.44 / $50.22	Facility	26	$9.91	$12.44	$50.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $61.67 / $129.94	Professional		$44.10	$61.67	$129.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.91 / $14.65 / $39.15	Professional	26	$9.91	$14.65	$39.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.19 / $45.96 / $87.51	Professional	TC	$34.19	$45.96	$87.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $52.22 / $91.40	Professional		$41.77	$52.22	$91.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.02 / $18.76 / $32.74	Professional	26	$11.02	$18.76	$32.74
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $43.05 / $99.60 / $99.60	Professional	TC	$43.05	$99.60	$99.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.32 / $17.32 / $46.97	Facility	26	$17.32	$17.32	$46.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.58 / $68.44 / $129.16	Professional		$47.58	$68.44	$129.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $18.07 / $31.86	Professional	26	$10.72	$18.07	$31.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.15 / $51.20 / $102.72	Professional	TC	$35.15	$51.20	$102.72
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $17.14 / $17.14 / $17.14	Facility	26	$17.14	$17.14	$17.14
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $47.16 / $65.97 / $89.07	Professional		$47.16	$65.97	$89.07
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $10.97 / $17.32 / $22.51	Professional	26	$10.97	$17.32	$22.51
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $35.45 / $48.27 / $68.86	Professional	TC	$35.45	$48.27	$68.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.34 / $66.89 / $111.88	Professional		$41.34	$66.89	$111.88
United Facility/Professional Professional Modifier Low / Median / High Price $47.27 / $56.63 / $110.80	Professional		$47.27	$56.63	$110.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.55 / $14.62 / $28.22	Professional	26	$12.55	$14.62	$28.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.40 / $42.06 / $90.27	Professional	TC	$34.40	$42.06	$90.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $37.04 / $37.04	Professional		$37.04	$37.04	$37.04
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.90 / $7.90 / $7.90	Professional	26	$7.90	$7.90	$7.90
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $29.15 / $29.15 / $29.15	Professional	TC	$29.15	$29.15	$29.15