Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.01 / $10.47 / $27.54	Facility	26	$5.01	$10.47	$27.54
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $14.13 / $41.69 / $100.00	Facility	TC	$14.13	$41.69	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.92 / $75.86	Professional		$18.20	$26.92	$75.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $9.12 / $27.54	Professional	26	$5.62	$9.12	$27.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $18.62 / $38.90	Professional	TC	$13.18	$18.62	$38.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.88 / $33.11	Professional		$19.05	$21.88	$33.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $8.51 / $14.79	Professional	26	$6.17	$8.51	$14.79
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $17.78 / $17.78	Professional	TC	$17.78	$17.78	$17.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.95 / $9.12 / $15.85	Facility	26	$1.95	$9.12	$15.85
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $5.01 / $23.44 / $33.88	Facility	TC	$5.01	$23.44	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $57.54	Professional		$19.95	$28.84	$57.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $9.12 / $18.20	Professional	26	$5.75	$9.12	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $20.42 / $43.65	Professional	TC	$14.13	$20.42	$43.65
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $8.91 / $8.91	Facility	26	$8.91	$8.91	$8.91
Florida Blue Facility/Professional Facility Modifier TC Low / Median / High Price $20.42 / $20.42 / $20.42	Facility	TC	$20.42	$20.42	$20.42
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $40.74	Professional		$19.95	$25.70	$40.74
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $7.76 / $11.75	Professional	26	$5.62	$7.76	$11.75
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $18.20 / $28.84	Professional	TC	$14.45	$18.20	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $20.89 / $33.88	Professional		$5.75	$20.89	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.12 / $46.77	Professional		$21.38	$25.12	$46.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $7.59 / $14.13	Professional	26	$6.46	$7.59	$14.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $17.78 / $32.36	Professional	TC	$14.45	$17.78	$32.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $28.84	Professional		$18.20	$18.20	$28.84
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $4.90 / $4.90 / $7.94	Professional	26	$4.90	$4.90	$7.94
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $13.49 / $20.42	Professional	TC	$13.49	$13.49	$20.42