Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.91 / $10.18 / $48.71	Facility	26	$9.91	$10.18	$48.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.78 / $54.86 / $113.47	Professional		$38.78	$54.86	$113.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.91 / $14.56 / $36.88	Professional	26	$9.91	$14.56	$36.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.86 / $39.85 / $65.34	Professional	TC	$28.86	$39.85	$65.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $45.92 / $61.73	Professional		$38.86	$45.92	$61.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.53 / $19.75 / $31.48	Professional	26	$10.53	$19.75	$31.48
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $40.01 / $40.01 / $40.01	Professional	TC	$40.01	$40.01	$40.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.32 / $17.32 / $46.97	Facility	26	$17.32	$17.32	$46.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $62.19 / $115.70	Professional		$42.28	$62.19	$115.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $18.07 / $31.86	Professional	26	$10.72	$18.07	$31.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.81 / $44.66 / $89.13	Professional	TC	$30.81	$44.66	$89.13
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $17.14 / $17.14 / $17.14	Facility	26	$17.14	$17.14	$17.14
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $42.57 / $60.05 / $78.68	Professional		$42.57	$60.05	$78.68
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $10.97 / $17.32 / $22.51	Professional	26	$10.97	$17.32	$22.51
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $30.48 / $42.34 / $59.15	Professional	TC	$30.48	$42.34	$59.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $50.20 / $90.53	Professional		$26.05	$50.20	$90.53
United Facility/Professional Professional Modifier Low / Median / High Price $42.92 / $49.48 / $101.38	Professional		$42.92	$49.48	$101.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.38 / $14.07 / $28.78	Professional	26	$12.38	$14.07	$28.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.16 / $35.44 / $75.70	Professional	TC	$30.16	$35.44	$75.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $33.68 / $33.68	Professional		$33.68	$33.68	$33.68
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.15 / $8.15 / $8.15	Professional	26	$8.15	$8.15	$8.15
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $25.53 / $25.53 / $25.53	Professional	TC	$25.53	$25.53	$25.53