Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.37 / $5.62 / $21.88	Facility	26	$4.37	$5.62	$21.88
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $14.13 / $77.62 / $245.47	Facility	TC	$14.13	$77.62	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $32.36 / $91.20	Professional		$13.80	$32.36	$91.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.79 / $8.71 / $24.55	Professional	26	$4.79	$8.71	$24.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $23.99 / $53.70	Professional	TC	$14.79	$23.99	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $51.29	Professional		$19.05	$23.99	$51.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.79 / $6.31 / $10.47	Professional	26	$4.79	$6.31	$10.47
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $20.89 / $33.88	Professional	TC	$14.45	$20.89	$33.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.55 / $7.24 / $12.30	Facility	26	$1.55	$7.24	$12.30
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $5.25 / $24.55 / $35.48	Facility	TC	$5.25	$24.55	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $57.54	Professional		$19.95	$26.92	$57.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.57 / $7.08 / $14.45	Professional	26	$4.57	$7.08	$14.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $21.38 / $46.77	Professional	TC	$15.49	$21.38	$46.77
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $7.08 / $7.08	Facility	26	$7.08	$7.08	$7.08
Florida Blue Facility/Professional Facility Modifier TC Low / Median / High Price $22.39 / $22.39 / $22.39	Facility	TC	$22.39	$22.39	$22.39
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.70 / $40.74	Professional		$19.50	$25.70	$40.74
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $4.47 / $6.31 / $9.33	Professional	26	$4.47	$6.31	$9.33
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $18.62 / $30.90	Professional	TC	$15.14	$18.62	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $21.38 / $33.88	Professional		$4.68	$21.38	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $24.55 / $45.71	Professional		$20.42	$24.55	$45.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $5.89 / $11.22	Professional	26	$5.01	$5.89	$11.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $19.05 / $34.67	Professional	TC	$15.49	$19.05	$34.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $28.18	Professional		$18.20	$18.20	$28.18
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $3.98 / $3.98 / $6.46	Professional	26	$3.98	$3.98	$6.46
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $14.45 / $21.38	Professional	TC	$14.45	$14.45	$21.38