Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.33 / $7.14 / $22.29	Facility	26	$4.33	$7.14	$22.29
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $14.17 / $64.95 / $243.97	Facility	TC	$14.17	$64.95	$243.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $27.17 / $58.07	Professional		$18.51	$27.17	$58.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.34 / $6.04 / $15.62	Professional	26	$4.34	$6.04	$15.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.17 / $21.01 / $34.47	Professional	TC	$14.17	$21.01	$34.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.01 / $21.87 / $52.89	Professional		$20.01	$21.87	$52.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.67 / $6.55 / $13.11	Professional	26	$4.67	$6.55	$13.11
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.11 / $26.11 / $31.08	Professional	TC	$26.11	$26.11	$31.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.31 / $7.31 / $19.50	Facility	26	$7.31	$7.31	$19.50
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $25.73 / $25.73 / $60.62	Facility	TC	$25.73	$25.73	$60.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $28.45 / $54.05	Professional		$20.05	$28.45	$54.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.54 / $7.35 / $13.09	Professional	26	$4.54	$7.35	$13.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.51 / $22.43 / $43.62	Professional	TC	$15.51	$22.43	$43.62
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $7.13 / $7.13 / $7.13	Facility	26	$7.13	$7.13	$7.13
Florida Blue Facility/Professional Facility Modifier TC Low / Median / High Price $22.25 / $22.25 / $22.25	Facility	TC	$22.25	$22.25	$22.25
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $28.64 / $38.56	Professional		$18.93	$28.64	$38.56
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $4.65 / $7.48 / $9.36	Professional	26	$4.65	$7.48	$9.36
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $14.59 / $20.86 / $29.20	Professional	TC	$14.59	$20.86	$29.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $33.26 / $55.11	Professional		$14.30	$33.26	$55.11
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $24.45 / $50.34	Professional		$20.42	$24.45	$50.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.96 / $5.83 / $11.91	Professional	26	$4.96	$5.83	$11.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.46 / $18.92 / $37.17	Professional	TC	$15.46	$18.92	$37.17
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 $3.59 / $3.59 / $3.59	Professional	26	$3.59	$3.59	$3.59
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $13.04 / $13.04 / $13.04	Professional	TC	$13.04	$13.04	$13.04