Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.61 / $19.89 / $76.09	Facility	26	$15.61	$19.89	$76.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.85 / $52.00 / $130.50	Professional		$30.85	$52.00	$130.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.61 / $20.96 / $60.49	Professional	26	$15.61	$20.96	$60.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.23 / $24.62 / $70.76	Professional	TC	$15.23	$24.62	$70.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $40.03 / $68.40	Professional		$29.28	$40.03	$68.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.28 / $23.75 / $49.21	Professional	26	$17.28	$23.75	$49.21
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $10.41 / $20.86 / $24.09	Professional	TC	$10.41	$20.86	$24.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.65 / $26.65 / $72.54	Facility	26	$26.65	$26.65	$72.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $62.01 / $145.49	Professional		$33.63	$62.01	$145.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.77 / $22.28 / $47.14	Professional	26	$15.77	$22.28	$47.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.07 / $31.10 / $96.88	Professional	TC	$17.07	$31.10	$96.88
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $26.43 / $26.43 / $26.43	Facility	26	$26.43	$26.43	$26.43
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $56.51 / $81.37	Professional		$35.58	$56.51	$81.37
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $15.82 / $23.13 / $34.33	Professional	26	$15.82	$23.13	$34.33
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $18.25 / $30.36 / $64.33	Professional	TC	$18.25	$30.36	$64.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $46.19 / $89.22	Professional		$27.64	$46.19	$89.22
United Facility/Professional Professional Modifier Low / Median / High Price $38.10 / $56.46 / $111.62	Professional		$38.10	$56.46	$111.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.30 / $20.36 / $36.24	Professional	26	$15.30	$20.36	$36.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.22 / $27.64 / $70.45	Professional	TC	$18.22	$27.64	$70.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $35.46 / $35.46	Professional		$35.46	$35.46	$35.46
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $16.53 / $16.53 / $16.53	Professional	26	$16.53	$16.53	$16.53
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $18.93 / $18.93 / $18.93	Professional	TC	$18.93	$18.93	$18.93