Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.58 / $10.41 / $41.25	Facility	26	$8.58	$10.41	$41.25
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.64 / $85.47 / $375.86	Facility	TC	$18.64	$85.47	$375.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $38.09 / $69.25	Professional		$27.22	$38.09	$69.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.58 / $12.06 / $23.11	Professional	26	$8.58	$12.06	$23.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.64 / $25.42 / $42.03	Professional	TC	$18.64	$25.42	$42.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $32.01 / $41.37	Professional		$27.85	$32.01	$41.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.50 / $14.70 / $26.66	Professional	26	$9.50	$14.70	$26.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.65 / $14.65 / $39.96	Facility	26	$14.65	$14.65	$39.96
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $33.92 / $33.92 / $70.48	Facility	TC	$33.92	$33.92	$70.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.39 / $43.28 / $78.39	Professional		$29.39	$43.28	$78.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.98 / $15.43 / $26.74	Professional	26	$8.98	$15.43	$26.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.16 / $28.78 / $55.69	Professional	TC	$20.16	$28.78	$55.69
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $14.49 / $14.49 / $14.49	Facility	26	$14.49	$14.49	$14.49
Florida Blue Facility/Professional Facility Modifier TC Low / Median / High Price $26.15 / $26.15 / $26.15	Facility	TC	$26.15	$26.15	$26.15
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $40.64 / $56.64	Professional		$29.29	$40.64	$56.64
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $14.83 / $19.02	Professional	26	$9.19	$14.83	$19.02
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $19.27 / $26.15 / $37.92	Professional	TC	$19.27	$26.15	$37.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $33.59 / $56.57	Professional		$18.12	$33.59	$56.57
United Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $34.71 / $75.00	Professional		$29.90	$34.71	$75.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.52 / $12.16 / $25.00	Professional	26	$10.52	$12.16	$25.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $23.18 / $47.77	Professional	TC	$19.07	$23.18	$47.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $23.43 / $23.43	Professional		$23.43	$23.43	$23.43
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.90 / $6.90 / $6.90	Professional	26	$6.90	$6.90	$6.90
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $16.53 / $16.53 / $16.53	Professional	TC	$16.53	$16.53	$16.53