Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.14 / $13.16 / $52.05	Facility	26	$10.14	$13.16	$52.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $44.96 / $91.32	Professional		$31.55	$44.96	$91.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.14 / $14.39 / $33.42	Professional	26	$10.14	$14.39	$33.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.41 / $30.68 / $49.75	Professional	TC	$21.41	$30.68	$49.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $39.35 / $76.61	Professional		$32.72	$39.35	$76.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.28 / $15.53 / $30.69	Professional	26	$11.28	$15.53	$30.69
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.43 / $29.51 / $29.51	Professional	TC	$25.43	$29.51	$29.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $47.00	Facility	26	$17.36	$17.36	$47.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.67 / $48.95 / $92.13	Professional		$33.67	$48.95	$92.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.95 / $17.50 / $32.08	Professional	26	$10.95	$17.50	$32.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.31 / $33.10 / $66.06	Professional	TC	$23.31	$33.10	$66.06
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $17.14 / $17.14 / $17.14	Facility	26	$17.14	$17.14	$17.14
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $48.47 / $63.72	Professional		$33.83	$48.47	$63.72
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $11.17 / $17.62 / $22.49	Professional	26	$11.17	$17.62	$22.49
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $22.25 / $30.23 / $42.90	Professional	TC	$22.25	$30.23	$42.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $33.62 / $57.12	Professional		$20.22	$33.62	$57.12
United Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $40.26 / $86.71	Professional		$35.04	$40.26	$86.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.01 / $13.87 / $28.50	Professional	26	$12.01	$13.87	$28.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.64 / $27.88 / $58.59	Professional	TC	$22.64	$27.88	$58.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $26.52 / $26.52	Professional		$26.52	$26.52	$26.52
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.96 / $7.96 / $7.96	Professional	26	$7.96	$7.96	$7.96
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $18.55 / $18.55	Professional	TC	$18.55	$18.55	$18.55