Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $51.29 / $93.33	Facility	26	$26.92	$51.29	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $151.36 / $363.08	Professional		$72.44	$151.36	$363.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $48.98 / $87.10	Professional	26	$25.70	$48.98	$87.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $95.50 / $218.78	Professional	TC	$43.65	$95.50	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $158.49	Professional		$67.61	$81.28	$158.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $31.62 / $44.67	Professional	26	$20.42	$31.62	$44.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.76 / $31.62 / $53.70	Facility	26	$6.76	$31.62	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $120.23 / $234.42	Professional		$70.79	$120.23	$234.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $32.36 / $64.57	Professional	26	$19.95	$32.36	$64.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $89.13 / $165.96	Professional	TC	$50.12	$89.13	$165.96
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $30.20 / $30.20	Facility	26	$30.20	$30.20	$30.20
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $141.25	Professional		$67.61	$91.20	$141.25
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $26.92 / $40.74	Professional	26	$19.05	$26.92	$40.74
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $66.07 / $102.33	Professional	TC	$48.98	$66.07	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $38.90 / $109.65	Professional		$18.62	$38.90	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $165.96	Professional		$70.79	$89.13	$165.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $25.12 / $47.86	Professional	26	$20.42	$25.12	$47.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $66.07 / $120.23	Professional	TC	$50.12	$66.07	$120.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $97.72	Professional		$60.26	$60.26	$97.72
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $16.22 / $26.92	Professional	26	$16.22	$16.22	$26.92
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $44.67 / $69.18	Professional	TC	$44.67	$44.67	$69.18