Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.05 / $30.80 / $96.46	Facility	26	$20.05	$30.80	$96.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.53 / $59.44 / $187.00	Professional		$42.53	$59.44	$187.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.05 / $27.41 / $63.58	Professional	26	$20.05	$27.41	$63.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.87 / $25.92 / $98.28	Professional	TC	$10.87	$25.92	$98.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $42.37 / $51.25	Professional		$32.58	$42.37	$51.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.53 / $40.65 / $67.06	Professional	26	$31.53	$40.65	$67.06
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $7.82 / $7.82 / $8.42	Professional	TC	$7.82	$7.82	$8.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.32 / $49.32 / $91.58	Facility	26	$49.32	$49.32	$91.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $95.68 / $184.34	Professional		$37.79	$95.68	$184.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.15 / $34.40 / $71.59	Professional	26	$23.15	$34.40	$71.59
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $115.21 / $115.21 / $196.97	Professional	50	$115.21	$115.21	$196.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $7.48 / $63.14 / $131.25	Professional	TC	$7.48	$63.14	$131.25
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $33.29 / $33.29 / $33.29	Facility	26	$33.29	$33.29	$33.29
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $38.44 / $109.78 / $156.16	Professional		$38.44	$109.78	$156.16
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $24.56 / $31.21 / $48.27	Professional	26	$24.56	$31.21	$48.27
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $7.43 / $80.23 / $114.13	Professional	TC	$7.43	$80.23	$114.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.88 / $100.77	Professional		$32.34	$65.88	$100.77
United Facility/Professional Professional Modifier Low / Median / High Price $61.18 / $94.02 / $159.32	Professional		$61.18	$94.02	$159.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.25 / $27.42 / $58.47	Professional	26	$24.25	$27.42	$58.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.63 / $64.72 / $112.11	Professional	TC	$35.63	$64.72	$112.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.90 / $49.90 / $49.90	Professional		$49.90	$49.90	$49.90
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $39.67 / $39.67 / $39.67	Professional	26	$39.67	$39.67	$39.67
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $10.23 / $10.23 / $10.23	Professional	TC	$10.23	$10.23	$10.23