Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $10.00 / $45.71	Facility	26	$8.91	$10.00	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $64.57 / $177.83	Professional		$40.74	$64.57	$177.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $17.78 / $47.86	Professional	26	$10.23	$17.78	$47.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $41.69 / $93.33	Professional	TC	$28.84	$41.69	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $48.98 / $120.23	Professional		$37.15	$48.98	$120.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $13.49 / $26.30	Professional	26	$10.96	$13.49	$26.30
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $29.51 / $54.95	Professional	TC	$28.84	$29.51	$54.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.72 / $17.38 / $29.51	Facility	26	$3.72	$17.38	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $120.23	Professional		$42.66	$58.88	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $17.38 / $33.88	Professional	26	$10.72	$17.38	$33.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $43.65 / $91.20	Professional	TC	$29.51	$43.65	$91.20
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $16.98 / $16.98	Facility	26	$16.98	$16.98	$16.98
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $83.18	Professional		$41.69	$52.48	$83.18
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $15.14 / $22.39	Professional	26	$10.47	$15.14	$22.39
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $37.15 / $60.26	Professional	TC	$30.20	$37.15	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $32.36 / $69.18	Professional		$10.23	$32.36	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $95.50	Professional		$42.66	$51.29	$95.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $14.45 / $26.30	Professional	26	$12.02	$14.45	$26.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $37.15 / $67.61	Professional	TC	$30.90	$37.15	$67.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $60.26	Professional		$37.15	$37.15	$60.26
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $8.91 / $14.79	Professional	26	$8.91	$8.91	$14.79
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $28.18 / $44.67	Professional	TC	$28.18	$28.18	$44.67