Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.11 / $10.88 / $31.43	Facility	26	$6.11	$10.88	$31.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $28.80 / $47.33	Professional		$18.14	$28.80	$47.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.11 / $9.00 / $14.68	Professional	26	$6.11	$9.00	$14.68
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $9.08 / $12.86 / $19.76	Professional	52	$9.08	$12.86	$19.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.04 / $19.82 / $32.60	Professional	TC	$12.04	$19.82	$32.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $19.00 / $27.14	Professional		$17.37	$19.00	$27.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $14.31 / $19.11	Professional	26	$6.98	$14.31	$19.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.36 / $10.36 / $30.50	Facility	26	$10.36	$10.36	$30.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $37.03 / $67.34	Professional		$19.67	$37.03	$67.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.40 / $11.60 / $20.60	Professional	26	$6.40	$11.60	$20.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.28 / $26.26 / $49.04	Professional	TC	$13.28	$26.26	$49.04
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $11.11 / $11.11 / $11.11	Facility	26	$11.11	$11.11	$11.11
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $37.11 / $48.59	Professional		$20.36	$37.11	$48.59
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $6.50 / $11.52 / $14.58	Professional	26	$6.50	$11.52	$14.58
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $13.81 / $25.59 / $34.01	Professional	TC	$13.81	$25.59	$34.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $33.40 / $55.57	Professional		$15.32	$33.40	$55.57
United Facility/Professional Professional Modifier Low / Median / High Price $24.58 / $30.72 / $57.13	Professional		$24.58	$30.72	$57.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.79 / $9.39 / $19.48	Professional	26	$7.79	$9.39	$19.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.79 / $21.61 / $39.22	Professional	TC	$16.79	$21.61	$39.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.04 / $21.04 / $21.04	Professional		$21.04	$21.04	$21.04
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.53 / $6.53 / $6.53	Professional	26	$6.53	$6.53	$6.53
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $14.51 / $14.51 / $14.51	Professional	TC	$14.51	$14.51	$14.51