Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.88 / $10.10 / $29.30	Facility	26	$5.88	$10.10	$29.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $24.06 / $45.79	Professional		$15.16	$24.06	$45.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.88 / $8.34 / $18.45	Professional	26	$5.88	$8.34	$18.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.27 / $15.77 / $28.57	Professional	TC	$9.27	$15.77	$28.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $18.17 / $36.97	Professional		$15.34	$18.17	$36.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.39 / $8.94 / $15.13	Professional	26	$6.39	$8.94	$15.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.96 / $9.96 / $26.49	Facility	26	$9.96	$9.96	$26.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $30.81 / $56.45	Professional		$16.32	$30.81	$56.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.16 / $10.02 / $17.89	Professional	26	$6.16	$10.02	$17.89
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $41.47 / $41.47 / $41.47	Professional	50	$41.47	$41.47	$41.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.16 / $21.09 / $39.61	Professional	TC	$10.16	$21.09	$39.61
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $9.66 / $9.66 / $9.66	Facility	26	$9.66	$9.66	$9.66
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $30.90 / $41.22	Professional		$16.63	$30.90	$41.22
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $6.28 / $9.94 / $12.68	Professional	26	$6.28	$9.94	$12.68
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $11.32 / $21.20 / $28.72	Professional	TC	$11.32	$21.20	$28.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $33.21 / $55.02	Professional		$12.21	$33.21	$55.02
United Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $26.13 / $49.94	Professional		$21.83	$26.13	$49.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.79 / $8.08 / $16.61	Professional	26	$6.79	$8.08	$16.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.33 / $17.71 / $32.50	Professional	TC	$14.33	$17.71	$32.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $17.89 / $17.89	Professional		$17.89	$17.89	$17.89
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $6.46 / $6.46	Professional	26	$6.46	$6.46	$6.46
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $11.43 / $11.43 / $11.43	Professional	TC	$11.43	$11.43	$11.43