Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.45 / $13.01 / $50.24	Facility	26	$10.45	$13.01	$50.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $43.61 / $85.73	Professional		$27.60	$43.61	$85.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $11.47 / $22.41	Professional	26	$7.33	$11.47	$22.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.14 / $28.83 / $73.15	Professional	TC	$17.14	$28.83	$73.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.10 / $91.10 / $91.10	Professional		$91.10	$91.10	$91.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.54 / $11.65 / $19.95	Professional	26	$5.54	$11.65	$19.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.93 / $16.93 / $25.91	Facility	26	$16.93	$16.93	$25.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $58.42 / $115.73	Professional		$30.02	$58.42	$115.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.68 / $27.78	Professional	26	$7.41	$11.68	$27.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.85 / $42.69 / $96.42	Professional	TC	$18.85	$42.69	$96.42
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $9.56 / $9.56 / $9.56	Facility	26	$9.56	$9.56	$9.56
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $57.85 / $81.11	Professional		$32.00	$57.85	$81.11
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $7.19 / $10.52 / $16.37	Professional	26	$7.19	$10.52	$16.37
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $19.87 / $45.21 / $58.29	Professional	TC	$19.87	$45.21	$58.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $33.96 / $57.21	Professional		$21.45	$33.96	$57.21
United Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $49.82 / $96.75	Professional		$33.22	$49.82	$96.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $12.88 / $22.98	Professional	26	$6.46	$12.88	$22.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.34 / $34.58 / $79.48	Professional	TC	$20.34	$34.58	$79.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.19 / $32.19 / $32.19	Professional		$32.19	$32.19	$32.19
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $11.06 / $11.06 / $11.06	Professional	26	$11.06	$11.06	$11.06
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $21.12 / $21.12 / $21.12	Professional	TC	$21.12	$21.12	$21.12