Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.45 / $6.85 / $26.18	Facility	26	$5.45	$6.85	$26.18
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $13.32 / $34.72 / $81.52	Facility	TC	$13.32	$34.72	$81.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.76 / $25.40 / $43.20	Professional		$18.76	$25.40	$43.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.45 / $7.50 / $16.63	Professional	26	$5.45	$7.50	$16.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.32 / $18.18 / $29.88	Professional	TC	$13.32	$18.18	$29.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $22.17 / $62.35	Professional		$18.55	$22.17	$62.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.88 / $7.61 / $17.05	Professional	26	$5.88	$7.61	$17.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $24.47	Facility	26	$9.19	$9.19	$24.47
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $24.18 / $24.18 / $54.71	Facility	TC	$24.18	$24.18	$54.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $30.62 / $57.66	Professional		$20.09	$30.62	$57.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.70 / $9.47 / $16.75	Professional	26	$5.70	$9.47	$16.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.39 / $21.32 / $41.69	Professional	TC	$14.39	$21.32	$41.69
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $8.94 / $8.94 / $8.94	Facility	26	$8.94	$8.94	$8.94
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 $20.78 / $29.72 / $38.52	Professional		$20.78	$29.72	$38.52
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $5.83 / $9.19 / $11.74	Professional	26	$5.83	$9.19	$11.74
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $14.77 / $20.51 / $27.59	Professional	TC	$14.77	$20.51	$27.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $33.21 / $55.11	Professional		$13.36	$33.21	$55.11
United Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $24.34 / $48.36	Professional		$21.15	$24.34	$48.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.54 / $7.41 / $15.26	Professional	26	$6.54	$7.41	$15.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.51 / $17.07 / $36.29	Professional	TC	$14.51	$17.07	$36.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $16.63 / $16.63	Professional		$16.63	$16.63	$16.63
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $4.54 / $4.54 / $4.54	Professional	26	$4.54	$4.54	$4.54
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $12.10 / $12.10 / $12.10	Professional	TC	$12.10	$12.10	$12.10