Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.34 / $7.98 / $30.53	Facility	26	$6.34	$7.98	$30.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.14 / $41.69 / $110.31	Professional		$24.14	$41.69	$110.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.35 / $9.58 / $27.05	Professional	26	$6.35	$9.58	$27.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.79 / $29.35 / $87.98	Professional	TC	$17.79	$29.35	$87.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.34 / $30.88 / $63.77	Professional		$23.34	$30.88	$63.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $9.73 / $16.39	Professional	26	$6.92	$9.73	$16.39
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.01 / $25.54 / $26.99	Professional	TC	$22.01	$25.54	$26.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $29.52	Facility	26	$10.80	$10.80	$29.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $53.10 / $139.40	Professional		$27.03	$53.10	$139.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $11.34 / $20.39	Professional	26	$6.65	$11.34	$20.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.30 / $40.36 / $120.28	Professional	TC	$19.30	$40.36	$120.28
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $10.74 / $10.74 / $10.74	Facility	26	$10.74	$10.74	$10.74
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $50.92 / $112.59	Professional		$28.95	$50.92	$112.59
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $6.72 / $11.01 / $15.06	Professional	26	$6.72	$11.01	$15.06
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $21.98 / $37.97 / $96.74	Professional	TC	$21.98	$37.97	$96.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $33.59 / $56.57	Professional		$18.44	$33.59	$56.57
United Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $44.51 / $108.75	Professional		$26.80	$44.51	$108.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.32 / $8.22 / $18.50	Professional	26	$6.32	$8.22	$18.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.92 / $32.95 / $84.49	Professional	TC	$19.92	$32.95	$84.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.42 / $24.42 / $24.42	Professional		$24.42	$24.42	$24.42
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.84 / $5.84 / $5.84	Professional	26	$5.84	$5.84	$5.84
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $18.57 / $18.57 / $18.57	Professional	TC	$18.57	$18.57	$18.57