Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.34 / $32.65 / $51.30	Facility	26	$10.34	$32.65	$51.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $73.34 / $275.00	Professional		$22.85	$73.34	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.61 / $12.46 / $55.00	Professional	26	$8.61	$12.46	$55.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.22 / $60.99 / $125.68	Professional	TC	$13.22	$60.99	$125.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $19.11 / $39.57	Professional		$15.45	$19.11	$39.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.90 / $9.68 / $19.21	Professional	26	$6.90	$9.68	$19.21
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $11.27 / $11.27 / $23.39	Professional	TC	$11.27	$11.27	$23.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $28.53	Facility	26	$10.80	$10.80	$28.53
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $5.59 / $5.59 / $5.59	Facility	53	$5.59	$5.59	$5.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $34.17 / $146.83	Professional		$16.57	$34.17	$146.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $11.22 / $20.36	Professional	26	$6.65	$11.22	$20.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.93 / $20.03 / $137.74	Professional	TC	$9.93	$20.03	$137.74
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $10.37 / $10.37 / $10.37	Facility	26	$10.37	$10.37	$10.37
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $18.42 / $29.47 / $128.75	Professional		$18.42	$29.47	$128.75
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $7.26 / $10.89 / $13.61	Professional	26	$7.26	$10.89	$13.61
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $10.64 / $17.03 / $118.76	Professional	TC	$10.64	$17.03	$118.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $33.13 / $55.02	Professional		$12.51	$33.13	$55.02
United Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $27.74 / $94.35	Professional		$18.30	$27.74	$94.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.44 / $8.69 / $17.14	Professional	26	$7.44	$8.69	$17.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.24 / $15.51 / $80.31	Professional	TC	$10.24	$15.51	$80.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $18.86	Professional		$18.86	$18.86	$18.86
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.04 / $7.04 / $7.04	Professional	26	$7.04	$7.04	$7.04
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $11.82 / $11.82 / $11.82	Professional	TC	$11.82	$11.82	$11.82