Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.57 / $12.92 / $33.75	Facility	26	$6.57	$12.92	$33.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $28.51 / $43.84	Professional		$20.09	$28.51	$43.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.57 / $8.91 / $14.27	Professional	26	$6.57	$8.91	$14.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.53 / $19.12 / $28.18	Professional	TC	$13.53	$19.12	$28.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $23.93 / $31.01	Professional		$23.93	$23.93	$31.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $31.53	Facility	26	$10.80	$10.80	$31.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.49 / $33.84 / $63.29	Professional		$21.49	$33.84	$63.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.87 / $11.69 / $21.42	Professional	26	$6.87	$11.69	$21.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.61 / $21.92 / $47.68	Professional	TC	$14.61	$21.92	$47.68
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $11.46 / $11.46 / $11.46	Facility	26	$11.46	$11.46	$11.46
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $34.40 / $42.50	Professional		$21.25	$34.40	$42.50
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $6.72 / $11.46 / $15.50	Professional	26	$6.72	$11.46	$15.50
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $14.50 / $21.19 / $29.12	Professional	TC	$14.50	$21.19	$29.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $33.21 / $55.57	Professional		$12.96	$33.21	$55.57
United Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $26.04 / $57.28	Professional		$19.23	$26.04	$57.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.36 / $8.44 / $19.89	Professional	26	$6.36	$8.44	$19.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.77 / $17.23 / $38.95	Professional	TC	$11.77	$17.23	$38.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $16.63 / $16.63	Professional		$16.63	$16.63	$16.63
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $4.90 / $4.90 / $4.90	Professional	26	$4.90	$4.90	$4.90
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $11.73 / $11.73 / $11.73	Professional	TC	$11.73	$11.73	$11.73