Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $109.65 / $251.19	Facility		$7.08	$109.65	$251.19
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.01 / $10.00 / $91.20	Facility	26	$5.01	$10.00	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $13.18 / $37.15	Professional		$8.13	$13.18	$37.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.25 / $7.94 / $26.30	Professional	26	$5.25	$7.94	$26.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.48 / $12.30 / $29.51	Professional	50	$11.48	$12.30	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.00 / $3.02 / $7.41	Professional	TC	$2.00	$3.02	$7.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $9.55 / $14.79	Professional		$8.13	$9.55	$14.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $1.82 / $10.00 / $12.59	Professional	26	$1.82	$10.00	$12.59
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.02 / $3.02	Professional	TC	$3.02	$3.02	$3.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $56.23 / $79.43	Facility		$17.78	$56.23	$79.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.86 / $8.71 / $14.79	Facility	26	$1.86	$8.71	$14.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $13.18 / $26.30	Professional		$8.51	$13.18	$26.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $9.77 / $18.62	Professional	26	$5.62	$9.77	$18.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.57 / $4.27 / $9.33	Professional	TC	$2.57	$4.27	$9.33
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $2.51 / $16.22	Facility		$2.40	$2.51	$16.22
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $10.47 / $10.47	Facility	26	$10.47	$10.47	$10.47
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.88 / $20.42	Professional		$8.13	$12.88	$20.42
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $8.71 / $13.49	Professional	26	$5.37	$8.71	$13.49
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $2.57 / $4.27 / $7.24	Professional	TC	$2.57	$4.27	$7.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $9.12 / $33.11	Professional		$3.24	$9.12	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $21.88 / $44.67	Facility		$6.76	$21.88	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.02 / $21.38	Professional		$9.55	$12.02	$21.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $7.94 / $14.13	Professional	26	$6.61	$7.94	$14.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.82 / $3.80 / $6.92	Professional	TC	$2.82	$3.80	$6.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $11.75	Professional		$8.71	$8.71	$11.75
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $5.89 / $7.76	Professional	26	$5.89	$5.89	$7.76
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $2.82 / $2.82 / $3.98	Professional	TC	$2.82	$2.82	$3.98