Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.94 / $30.51 / $118.38	Facility	26	$24.94	$30.51	$118.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.51 / $80.38 / $191.89	Professional		$55.51	$80.38	$191.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.94 / $34.02 / $80.80	Professional	26	$24.94	$34.02	$80.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.57 / $47.02 / $83.42	Professional	TC	$30.57	$47.02	$83.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $80.98 / $121.81	Professional		$61.31	$80.98	$121.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.10 / $41.60 / $64.95	Professional	26	$27.10	$41.60	$64.95
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $35.32 / $41.31 / $61.63	Professional	TC	$35.32	$41.31	$61.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.65 / $41.65 / $114.90	Facility	26	$41.65	$41.65	$114.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.65 / $92.46 / $181.58	Professional		$57.65	$92.46	$181.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.42 / $40.69 / $80.38	Professional	26	$25.42	$40.69	$80.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.22 / $52.95 / $106.09	Professional	TC	$32.22	$52.95	$106.09
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $42.41 / $42.41 / $42.41	Facility	26	$42.41	$42.41	$42.41
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $56.22 / $95.62 / $125.74	Professional		$56.22	$95.62	$125.74
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $24.27 / $37.11 / $55.10	Professional	26	$24.27	$37.11	$55.10
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $31.95 / $54.16 / $72.59	Professional	TC	$31.95	$54.16	$72.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $51.67 / $132.66	Professional		$28.81	$51.67	$132.66
United Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $77.22 / $142.08	Professional		$67.34	$77.22	$142.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.40 / $32.49 / $60.69	Professional	26	$29.40	$32.49	$60.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.28 / $45.47 / $83.42	Professional	TC	$37.28	$45.47	$83.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.31 / $54.31 / $54.31	Professional		$54.31	$54.31	$54.31
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $22.82 / $22.82 / $22.82	Professional	26	$22.82	$22.82	$22.82
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $31.49 / $31.49 / $31.49	Professional	TC	$31.49	$31.49	$31.49