Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.11 / $7.42 / $29.38	Facility	26	$6.11	$7.42	$29.38
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $14.38 / $52.57 / $291.47	Facility	TC	$14.38	$52.57	$291.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $28.55 / $53.15	Professional		$20.49	$28.55	$53.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.11 / $8.72 / $21.20	Professional	26	$6.11	$8.72	$21.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.38 / $19.71 / $33.36	Professional	TC	$14.38	$19.71	$33.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $24.88 / $69.98	Professional		$19.89	$24.88	$69.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.69 / $9.30 / $18.48	Professional	26	$6.69	$9.30	$18.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.36 / $10.36 / $27.50	Facility	26	$10.36	$10.36	$27.50
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $27.15 / $27.15 / $57.65	Facility	TC	$27.15	$27.15	$57.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $32.79 / $61.27	Professional		$22.57	$32.79	$61.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.40 / $10.62 / $18.87	Professional	26	$6.40	$10.62	$18.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.34 / $22.51 / $44.67	Professional	TC	$15.34	$22.51	$44.67
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $10.02 / $10.02 / $10.02	Facility	26	$10.02	$10.02	$10.02
Florida Blue Facility/Professional Facility Modifier TC Low / Median / High Price $21.15 / $21.15 / $21.15	Facility	TC	$21.15	$21.15	$21.15
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $31.92 / $42.52	Professional		$22.60	$31.92	$42.52
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $6.55 / $10.30 / $13.15	Professional	26	$6.55	$10.30	$13.15
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $15.66 / $21.62 / $30.41	Professional	TC	$15.66	$21.62	$30.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $33.42 / $55.57	Professional		$14.21	$33.42	$55.57
United Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $26.30 / $56.72	Professional		$22.34	$26.30	$56.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.32 / $8.33 / $17.10	Professional	26	$7.32	$8.33	$17.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.12 / $18.25 / $38.83	Professional	TC	$15.12	$18.25	$38.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $17.69 / $17.69	Professional		$17.69	$17.69	$17.69
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $4.82 / $4.82 / $4.82	Professional	26	$4.82	$4.82	$4.82
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $12.86 / $12.86 / $12.86	Professional	TC	$12.86	$12.86	$12.86