Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $13.39 / $39.08	Facility	26	$8.13	$13.39	$39.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $38.10 / $72.18	Professional		$26.55	$38.10	$72.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.84 / $24.23	Professional	26	$8.13	$10.84	$24.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.43 / $28.17 / $45.07	Professional	TC	$18.43	$28.17	$45.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $39.54 / $88.07	Professional		$27.40	$39.54	$88.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.80 / $15.71 / $24.59	Professional	26	$8.80	$15.71	$24.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.86 / $13.86 / $31.51	Facility	26	$13.86	$13.86	$31.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $42.17 / $79.65	Professional		$28.92	$42.17	$79.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.50 / $12.26 / $23.28	Professional	26	$8.50	$12.26	$23.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.41 / $30.34 / $58.65	Professional	TC	$20.41	$30.34	$58.65
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 $27.71 / $41.07 / $53.24	Professional		$27.71	$41.07	$53.24
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $12.17 / $15.30	Professional	26	$8.31	$12.17	$15.30
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $19.68 / $28.11 / $37.97	Professional	TC	$19.68	$28.11	$37.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $33.48 / $56.57	Professional		$17.70	$33.48	$56.57
United Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $34.74 / $71.42	Professional		$29.80	$34.74	$71.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.65 / $22.77	Professional	26	$8.13	$10.65	$22.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.00 / $25.16 / $48.05	Professional	TC	$21.00	$25.16	$48.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $22.53 / $22.53	Professional		$22.53	$22.53	$22.53
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.39 / $6.39 / $6.39	Professional	26	$6.39	$6.39	$6.39
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $16.14 / $16.14 / $16.14	Professional	TC	$16.14	$16.14	$16.14