Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.45 / $8.58 / $35.88	Facility	26	$7.45	$8.58	$35.88
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $16.09 / $73.76 / $534.05	Facility	TC	$16.09	$73.76	$534.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $32.64 / $69.45	Professional		$23.54	$32.64	$69.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.46 / $10.82 / $38.50	Professional	26	$7.46	$10.82	$38.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.09 / $21.91 / $46.05	Professional	TC	$16.09	$21.91	$46.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $27.63 / $41.45	Professional		$22.10	$27.63	$41.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $11.40 / $22.57	Professional	26	$8.13	$11.40	$22.57
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $22.14 / $22.14	Professional	TC	$18.62	$22.14	$22.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.36 / $12.36 / $33.54	Facility	26	$12.36	$12.36	$33.54
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $29.08 / $29.08 / $60.62	Facility	TC	$29.08	$29.08	$60.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.32 / $37.61 / $68.80	Professional		$25.32	$37.61	$68.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.81 / $13.03 / $22.83	Professional	26	$7.81	$13.03	$22.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.34 / $24.76 / $47.72	Professional	TC	$17.34	$24.76	$47.72
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $12.06 / $12.06 / $12.06	Facility	26	$12.06	$12.06	$12.06
Florida Blue Facility/Professional Facility Modifier TC Low / Median / High Price $22.51 / $22.51 / $22.51	Facility	TC	$22.51	$22.51	$22.51
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $34.57 / $47.03	Professional		$25.06	$34.57	$47.03
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $7.99 / $12.45 / $15.83	Professional	26	$7.99	$12.45	$15.83
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $16.72 / $22.51 / $32.36	Professional	TC	$16.72	$22.51	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $33.44 / $55.74	Professional		$15.57	$33.44	$55.74
United Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $29.77 / $61.97	Professional		$25.45	$29.77	$61.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.14 / $21.74	Professional	26	$8.91	$10.14	$21.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.37 / $19.98 / $41.15	Professional	TC	$16.37	$19.98	$41.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.80 / $5.80 / $5.80	Professional	26	$5.80	$5.80	$5.80
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $14.15 / $14.15 / $14.15	Professional	TC	$14.15	$14.15	$14.15