Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.01 / $5.50 / $81.28	Facility	26	$5.01	$5.50	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.90 / $81.28	Professional		$21.88	$30.90	$81.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.50 / $7.94 / $22.91	Professional	26	$5.50	$7.94	$22.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $21.88 / $42.66	Professional	TC	$15.49	$21.88	$42.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $37.15	Professional		$19.95	$25.70	$37.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $9.55 / $13.80	Professional	26	$6.46	$9.55	$13.80
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $18.62 / $24.55	Professional	TC	$18.62	$18.62	$24.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.04 / $9.55 / $16.22	Facility	26	$2.04	$9.55	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.20 / $63.10	Professional		$21.38	$30.20	$63.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $9.12 / $18.62	Professional	26	$5.75	$9.12	$18.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $22.39 / $50.12	Professional	TC	$15.14	$22.39	$50.12
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $9.33 / $9.33	Facility	26	$9.33	$9.33	$9.33
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $27.54 / $42.66	Professional		$22.39	$27.54	$42.66
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $8.13 / $12.02	Professional	26	$5.89	$8.13	$12.02
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $19.05 / $30.90	Professional	TC	$15.14	$19.05	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $21.38 / $33.88	Professional		$5.25	$21.38	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $27.54 / $50.12	Professional		$22.39	$27.54	$50.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $7.76 / $14.79	Professional	26	$6.61	$7.76	$14.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $19.50 / $35.48	Professional	TC	$15.49	$19.50	$35.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $33.11	Professional		$18.62	$18.62	$33.11
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $4.57 / $4.57 / $8.32	Professional	26	$4.57	$4.57	$8.32
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $13.80 / $24.55	Professional	TC	$13.80	$13.80	$24.55