Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.66 / $9.32 / $29.10	Facility	26	$5.66	$9.32	$29.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.79 / $34.11 / $57.01	Professional		$25.79	$34.11	$57.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.66 / $8.25 / $14.21	Professional	26	$5.66	$8.25	$14.21
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $55.00 / $55.00 / $55.00	Professional	50	$55.00	$55.00	$55.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.13 / $25.35 / $39.84	Professional	TC	$20.13	$25.35	$39.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $28.48 / $39.79	Professional		$23.77	$28.48	$39.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.05 / $8.41 / $13.65	Professional	26	$6.05	$8.41	$13.65
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $24.70 / $24.70 / $43.29	Professional	TC	$24.70	$24.70	$43.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $25.48	Facility	26	$9.30	$9.30	$25.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $35.52 / $72.15	Professional		$24.93	$35.52	$72.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.92 / $10.10 / $17.80	Professional	26	$5.92	$10.10	$17.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.03 / $26.40 / $55.42	Professional	TC	$19.03	$26.40	$55.42
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $35.28 / $50.85	Professional		$26.00	$35.28	$50.85
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $6.05 / $9.76 / $12.20	Professional	26	$6.05	$9.76	$12.20
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $18.07 / $26.36 / $39.43	Professional	TC	$18.07	$26.36	$39.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $33.46 / $55.74	Professional		$17.75	$33.46	$55.74
United Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $32.10 / $64.45	Professional		$23.19	$32.10	$64.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $8.32 / $17.14	Professional	26	$6.74	$8.32	$17.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.37 / $24.63 / $54.11	Professional	TC	$16.37	$24.63	$54.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $21.25 / $21.25	Professional		$21.25	$21.25	$21.25
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $4.25 / $4.25 / $4.25	Professional	26	$4.25	$4.25	$4.25
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $17.00 / $17.00 / $17.00	Professional	TC	$17.00	$17.00	$17.00