Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $19.05 / $85.11	Facility	26	$15.85	$19.05	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $63.10 / $213.80	Professional		$31.62	$63.10	$213.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $33.88 / $95.50	Professional	26	$16.60	$33.88	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $21.88 / $54.95	Professional	TC	$13.80	$21.88	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.69 / $67.61	Professional		$33.11	$41.69	$67.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $26.30 / $40.74	Professional	26	$18.62	$26.30	$40.74
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $17.38 / $27.54	Professional	TC	$13.80	$17.38	$27.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.75 / $26.92 / $45.71	Facility	26	$5.75	$26.92	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $114.82	Professional		$30.90	$51.29	$114.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $26.92 / $53.70	Professional	26	$16.60	$26.92	$53.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $25.12 / $67.61	Professional	TC	$14.45	$25.12	$67.61
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $27.54 / $27.54 / $27.54	Facility	26	$27.54	$27.54	$27.54
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $46.77 / $91.20	Professional		$30.90	$46.77	$91.20
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $24.55 / $37.15	Professional	26	$16.98	$24.55	$37.15
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $21.38 / $58.88	Professional	TC	$14.13	$21.38	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $29.51 / $38.02	Professional		$15.49	$29.51	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $87.10	Professional		$34.67	$46.77	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $21.88 / $40.74	Professional	26	$18.62	$21.88	$40.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $21.88 / $51.29	Professional	TC	$16.22	$21.88	$51.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $44.67	Professional		$30.20	$30.20	$44.67
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $15.85 / $23.99	Professional	26	$15.85	$15.85	$23.99
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $14.13 / $20.42	Professional	TC	$14.13	$14.13	$20.42