Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $8.32 / $38.02	Facility	26	$7.08	$8.32	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $42.66 / $120.23	Professional		$25.70	$42.66	$120.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $12.88 / $29.51	Professional	26	$7.24	$12.88	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $26.92 / $60.26	Professional	TC	$18.20	$26.92	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $45.71	Professional		$23.99	$30.20	$45.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.22 / $17.38	Professional	26	$7.94	$11.22	$17.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $29.51 / $47.86	Professional	TC	$20.89	$29.51	$47.86
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 $24.55 / $35.48 / $74.13	Professional		$24.55	$35.48	$74.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.47 / $21.88	Professional	26	$7.08	$10.47	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $26.92 / $56.23	Professional	TC	$17.78	$26.92	$56.23
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.00 / $10.00	Facility	26	$10.00	$10.00	$10.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $31.62 / $48.98	Professional		$25.70	$31.62	$48.98
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $8.91 / $14.13	Professional	26	$7.24	$8.91	$14.13
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $21.88 / $35.48	Professional	TC	$18.20	$21.88	$35.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $24.55 / $38.02	Professional		$6.61	$24.55	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $32.36 / $57.54	Professional		$26.30	$32.36	$57.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $9.55 / $17.78	Professional	26	$7.41	$9.55	$17.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $22.91 / $40.74	Professional	TC	$18.62	$22.91	$40.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $38.02	Professional		$21.38	$21.38	$38.02
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $5.89 / $10.23	Professional	26	$5.89	$5.89	$10.23
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $15.85 / $27.54	Professional	TC	$15.85	$15.85	$27.54