Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.93 / $12.88 / $52.16	Facility	26	$9.93	$12.88	$52.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.01 / $40.40 / $67.59	Professional		$26.01	$40.40	$67.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.93 / $13.58 / $24.87	Professional	26	$9.93	$13.58	$24.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.09 / $25.51 / $50.60	Professional	TC	$16.09	$25.51	$50.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.39 / $87.39 / $87.39	Professional		$87.39	$87.39	$87.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.43 / $11.72 / $27.84	Professional	26	$8.43	$11.72	$27.84
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 $28.47 / $48.51 / $97.56	Professional		$28.47	$48.51	$97.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.73 / $17.78 / $32.06	Professional	26	$10.73	$17.78	$32.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.73 / $30.30 / $72.04	Professional	TC	$17.73	$30.30	$72.04
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 $29.13 / $47.71 / $66.98	Professional		$29.13	$47.71	$66.98
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $10.94 / $17.98 / $22.49	Professional	26	$10.94	$17.98	$22.49
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $16.97 / $27.57 / $42.93	Professional	TC	$16.97	$27.57	$42.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.24 / $33.48 / $56.57	Professional		$18.24	$33.48	$56.57
United Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $44.86 / $87.48	Professional		$30.62	$44.86	$87.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.01 / $13.75 / $28.78	Professional	26	$12.01	$13.75	$28.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.96 / $27.47 / $59.07	Professional	TC	$17.96	$27.47	$59.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.71 / $25.71 / $25.71	Professional		$25.71	$25.71	$25.71
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $9.33 / $9.33	Professional	26	$9.33	$9.33	$9.33
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $16.38 / $16.38 / $16.38	Professional	TC	$16.38	$16.38	$16.38