Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.32 / $9.55 / $38.02	Facility	26	$8.32	$9.55	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $61.66 / $169.82	Professional		$38.02	$61.66	$169.82
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 $25.12 / $41.69 / $85.11	Professional	TC	$25.12	$41.69	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $40.74 / $72.44	Professional		$31.62	$40.74	$72.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $13.18 / $20.89	Professional	26	$9.55	$13.18	$20.89
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $33.11 / $48.98	Professional	TC	$25.70	$33.11	$48.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.09 / $14.45 / $25.12	Facility	26	$3.09	$14.45	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $104.71	Professional		$34.67	$51.29	$104.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $16.22 / $30.90	Professional	26	$8.71	$16.22	$30.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $37.15 / $79.43	Professional	TC	$26.30	$37.15	$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 $36.31 / $47.86 / $70.79	Professional		$36.31	$47.86	$70.79
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.79 / $21.38	Professional	26	$8.91	$14.79	$21.38
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $32.36 / $50.12	Professional	TC	$25.70	$32.36	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $32.36 / $57.54	Professional		$8.71	$32.36	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $81.28	Professional		$38.02	$44.67	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $13.18 / $23.99	Professional	26	$10.72	$13.18	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $31.62 / $56.23	Professional	TC	$25.70	$31.62	$56.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $52.48	Professional		$31.62	$31.62	$52.48
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $7.76 / $12.88	Professional	26	$7.76	$7.76	$12.88
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $23.99 / $38.90	Professional	TC	$23.99	$23.99	$38.90