Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $26.92 / $102.33	Facility	26	$21.88	$26.92	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $77.62 / $190.55	Professional		$54.95	$77.62	$190.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $35.48 / $104.71	Professional	26	$22.91	$35.48	$104.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $43.65 / $85.11	Professional	TC	$31.62	$43.65	$85.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $34.67 / $53.70	Professional	26	$25.12	$34.67	$53.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $38.02 / $53.70	Facility	26	$8.13	$38.02	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $162.18	Professional		$57.54	$85.11	$162.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $37.15 / $72.44	Professional	26	$23.44	$37.15	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $48.98 / $100.00	Professional	TC	$33.11	$48.98	$100.00
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $36.31 / $36.31	Facility	26	$36.31	$36.31	$36.31
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $114.82	Professional		$54.95	$74.13	$114.82
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $31.62 / $47.86	Professional	26	$22.91	$31.62	$47.86
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $42.66 / $67.61	Professional	TC	$31.62	$42.66	$67.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $40.74 / $100.00	Professional		$27.54	$40.74	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $72.44 / $138.04	Professional		$61.66	$72.44	$138.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $31.62 / $58.88	Professional	26	$26.30	$31.62	$58.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $41.69 / $77.62	Professional	TC	$34.67	$41.69	$77.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $77.62	Professional		$61.66	$61.66	$77.62
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $25.12 / $32.36	Professional	26	$25.12	$25.12	$32.36
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $37.15 / $45.71	Professional	TC	$37.15	$37.15	$45.71