Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.01 / $9.33 / $28.84	Facility	26	$5.01	$9.33	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $39.81 / $95.50	Professional		$25.70	$39.81	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $8.91 / $23.99	Professional	26	$5.89	$8.91	$23.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.90 / $40.74 / $58.88	Professional	50	$38.90	$40.74	$58.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $28.18 / $63.10	Professional	TC	$19.95	$28.18	$63.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $48.98	Professional		$25.70	$32.36	$48.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $8.51 / $14.13	Professional	26	$6.31	$8.51	$14.13
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $40.74 / $48.98	Professional	TC	$25.70	$40.74	$48.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.04 / $9.55 / $16.22	Facility	26	$2.04	$9.55	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $34.67 / $74.13	Professional		$24.55	$34.67	$74.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $9.55 / $19.05	Professional	26	$5.89	$9.55	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $26.30 / $61.66	Professional	TC	$18.20	$26.30	$61.66
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $9.33 / $9.33	Facility	26	$9.33	$9.33	$9.33
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $32.36 / $53.70	Professional		$26.30	$32.36	$53.70
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $8.51 / $12.02	Professional	26	$5.89	$8.51	$12.02
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $24.55 / $40.74	Professional	TC	$17.78	$24.55	$40.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $27.54 / $43.65	Professional		$5.37	$27.54	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $32.36 / $58.88	Professional		$23.44	$32.36	$58.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $8.32 / $14.79	Professional	26	$6.76	$8.32	$14.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $24.55 / $44.67	Professional	TC	$16.22	$24.55	$44.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $40.74	Professional		$23.44	$23.44	$40.74
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $4.90 / $4.90 / $8.32	Professional	26	$4.90	$4.90	$8.32
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $18.62 / $32.36	Professional	TC	$18.62	$18.62	$32.36