Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.45 / $6.85 / $26.18	Facility	26	$5.45	$6.85	$26.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $29.20 / $65.09	Professional		$20.47	$29.20	$65.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.45 / $7.78 / $23.44	Professional	26	$5.45	$7.78	$23.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.02 / $21.35 / $42.28	Professional	TC	$15.02	$21.35	$42.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $24.59 / $59.48	Professional		$19.41	$24.59	$59.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.90 / $8.26 / $16.47	Professional	26	$5.90	$8.26	$16.47
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $47.29 / $47.29 / $47.29	Professional	50	$47.29	$47.29	$47.29
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.21 / $29.13 / $44.66	Professional	TC	$17.21	$29.13	$44.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $24.47	Facility	26	$9.19	$9.19	$24.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.16 / $30.93 / $58.75	Professional		$21.16	$30.93	$58.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.70 / $9.22 / $16.52	Professional	26	$5.70	$9.22	$16.52
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $37.85 / $37.85 / $37.85	Professional	50	$37.85	$37.85	$37.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.41 / $22.29 / $45.28	Professional	TC	$15.41	$22.29	$45.28
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $8.94 / $8.94 / $8.94	Facility	26	$8.94	$8.94	$8.94
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $30.65 / $41.68	Professional		$21.31	$30.65	$41.68
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $5.82 / $9.33 / $11.74	Professional	26	$5.82	$9.33	$11.74
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $21.20 / $29.07	Professional	TC	$15.29	$21.20	$29.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $33.26 / $55.11	Professional		$13.63	$33.26	$55.11
United Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $26.08 / $54.00	Professional		$21.28	$26.08	$54.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.16 / $7.30 / $15.26	Professional	26	$6.16	$7.30	$15.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.70 / $18.82 / $39.27	Professional	TC	$14.70	$18.82	$39.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $16.41 / $16.41	Professional		$16.41	$16.41	$16.41
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $4.01 / $4.01 / $4.01	Professional	26	$4.01	$4.01	$4.01
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $12.39 / $12.39 / $12.39	Professional	TC	$12.39	$12.39	$12.39