Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.93 / $23.38 / $89.42	Facility	26	$18.93	$23.38	$89.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $58.29 / $164.45	Professional		$38.00	$58.29	$164.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.93 / $26.40 / $71.09	Professional	26	$18.93	$26.40	$71.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $30.21 / $88.37	Professional	TC	$19.07	$30.21	$88.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.81 / $47.83 / $83.71	Professional		$36.81	$47.83	$83.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.82 / $22.53 / $58.03	Professional	26	$19.82	$22.53	$58.03
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $24.95 / $26.03 / $32.13	Professional	TC	$24.95	$26.03	$32.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.27 / $31.27 / $83.57	Facility	26	$31.27	$31.27	$83.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $73.40 / $155.38	Professional		$40.90	$73.40	$155.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.59 / $29.73 / $58.15	Professional	26	$19.59	$29.73	$58.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.30 / $38.38 / $95.47	Professional	TC	$21.30	$38.38	$95.47
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $30.40 / $30.40 / $30.40	Facility	26	$30.40	$30.40	$30.40
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $43.01 / $71.59 / $99.43	Professional		$43.01	$71.59	$99.43
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $18.60 / $30.38 / $39.90	Professional	26	$18.60	$30.38	$39.90
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $22.77 / $36.86 / $64.33	Professional	TC	$22.77	$36.86	$64.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $48.19 / $90.47	Professional		$28.42	$48.19	$90.47
United Facility/Professional Professional Modifier Low / Median / High Price $46.30 / $69.92 / $119.82	Professional		$46.30	$69.92	$119.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.99 / $24.43 / $45.45	Professional	26	$21.99	$24.43	$45.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.90 / $34.95 / $74.42	Professional	TC	$22.90	$34.95	$74.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $40.43 / $40.43	Professional		$40.43	$40.43	$40.43
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $18.29 / $18.29 / $18.29	Professional	26	$18.29	$18.29	$18.29
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $22.13 / $22.13 / $22.13	Professional	TC	$22.13	$22.13	$22.13