Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $12.02 / $38.90	Facility	26	$7.08	$12.02	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $44.67 / $134.90	Professional		$26.92	$44.67	$134.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $12.02 / $33.11	Professional	26	$7.41	$12.02	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.20 / $66.07	Professional	TC	$19.05	$30.20	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.11 / $53.70	Professional		$28.84	$33.11	$53.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $14.45 / $17.78	Professional	26	$8.32	$14.45	$17.78
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $34.67 / $50.12	Professional	TC	$21.88	$34.67	$50.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.63 / $12.30 / $20.89	Facility	26	$2.63	$12.30	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $42.66 / $87.10	Professional		$27.54	$42.66	$87.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $12.02 / $23.99	Professional	26	$7.59	$12.02	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $33.88 / $67.61	Professional	TC	$20.42	$33.88	$67.61
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $11.75 / $11.75 / $11.75	Facility	26	$11.75	$11.75	$11.75
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $58.88	Professional		$28.84	$40.74	$58.88
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.72 / $15.49	Professional	26	$7.59	$10.72	$15.49
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $30.20 / $43.65	Professional	TC	$21.38	$30.20	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $30.20 / $45.71	Professional		$7.76	$30.20	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $67.61	Professional		$30.90	$38.02	$67.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $10.00 / $19.05	Professional	26	$8.51	$10.00	$19.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.18 / $48.98	Professional	TC	$21.88	$28.18	$48.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $40.74	Professional		$26.30	$26.30	$40.74
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $6.92 / $10.72	Professional	26	$6.92	$6.92	$10.72
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $19.50 / $30.20	Professional	TC	$19.50	$19.50	$30.20