Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.04 / $23.26 / $73.29	Facility	26	$14.04	$23.26	$73.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.41 / $59.51 / $90.77	Professional		$41.41	$59.51	$90.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.04 / $19.36 / $29.09	Professional	26	$14.04	$19.36	$29.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.37 / $39.82 / $61.27	Professional	TC	$27.37	$39.82	$61.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.78 / $27.07 / $36.26	Professional	26	$15.78	$27.07	$36.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.92 / $23.92 / $66.50	Facility	26	$23.92	$23.92	$66.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.47 / $68.78 / $126.17	Professional		$44.47	$68.78	$126.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.69 / $24.53 / $44.34	Professional	26	$14.69	$24.53	$44.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.78 / $46.67 / $86.83	Professional	TC	$29.78	$46.67	$86.83
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $24.27 / $24.27 / $24.27	Facility	26	$24.27	$24.27	$24.27
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $45.72 / $67.41 / $88.47	Professional		$45.72	$67.41	$88.47
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $14.82 / $24.00 / $31.86	Professional	26	$14.82	$24.00	$31.86
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $30.46 / $43.14 / $56.62	Professional	TC	$30.46	$43.14	$56.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $35.05 / $59.77	Professional		$23.62	$35.05	$59.77
United Facility/Professional Professional Modifier Low / Median / High Price $48.95 / $56.24 / $113.68	Professional		$48.95	$56.24	$113.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.02 / $19.63 / $39.93	Professional	26	$17.02	$19.63	$39.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.54 / $37.97 / $72.31	Professional	TC	$31.54	$37.97	$72.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $38.29 / $38.29	Professional		$38.29	$38.29	$38.29
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $12.12 / $12.12 / $12.12	Professional	26	$12.12	$12.12	$12.12
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $26.19 / $26.19 / $26.19	Professional	TC	$26.19	$26.19	$26.19