Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.24 / $12.44 / $49.20	Facility	26	$10.24	$12.44	$49.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $28.50 / $51.87	Professional		$17.14	$28.50	$51.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.12 / $12.24 / $29.24	Professional	26	$7.12	$12.24	$29.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.11 / $17.89 / $31.54	Professional	TC	$10.11	$17.89	$31.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.24 / $28.24 / $33.89	Professional		$28.24	$28.24	$33.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.19 / $19.75 / $32.03	Professional	26	$11.19	$19.75	$32.03
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.05 / $20.05 / $20.05	Professional	TC	$20.05	$20.05	$20.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.32 / $17.32 / $23.49	Facility	26	$17.32	$17.32	$23.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.15 / $28.90 / $65.23	Professional		$14.15	$28.90	$65.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.83 / $10.93 / $25.04	Professional	26	$6.83	$10.93	$25.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.42 / $18.18 / $43.59	Professional	TC	$8.42	$18.18	$43.59
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $8.57 / $8.57 / $8.57	Facility	26	$8.57	$8.57	$8.57
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $22.04 / $32.27	Professional		$14.33	$22.04	$32.27
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $6.58 / $10.17 / $13.89	Professional	26	$6.58	$10.17	$13.89
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $7.36 / $11.32 / $20.52	Professional	TC	$7.36	$11.32	$20.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.38 / $33.21 / $56.57	Professional		$7.38	$33.21	$56.57
United Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $33.56 / $57.58	Professional		$14.38	$33.56	$57.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.14 / $12.65 / $22.74	Professional	26	$6.14	$12.65	$22.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $7.61 / $20.57 / $35.65	Professional	TC	$7.61	$20.57	$35.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $9.91 / $16.39	Professional		$9.91	$9.91	$16.39
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $3.48 / $3.48 / $5.61	Professional	26	$3.48	$3.48	$5.61
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $6.43 / $6.43 / $10.79	Professional	TC	$6.43	$6.43	$10.79