Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.69 / $11.17 / $45.57	Facility	26	$9.69	$11.17	$45.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $48.76 / $78.77	Professional		$33.22	$48.76	$78.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.69 / $13.50 / $20.09	Professional	26	$9.69	$13.50	$20.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.54 / $35.08 / $53.21	Professional	TC	$23.54	$35.08	$53.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $35.25 / $113.29	Professional		$32.22	$35.25	$113.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.82 / $10.82 / $10.82	Professional	26	$10.82	$10.82	$10.82
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.62 / $28.62 / $28.62	Professional	TC	$28.62	$28.62	$28.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.20 / $16.20 / $44.00	Facility	26	$16.20	$16.20	$44.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $59.56 / $103.96	Professional		$35.22	$59.56	$103.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.14 / $16.82 / $30.14	Professional	26	$10.14	$16.82	$30.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.09 / $44.05 / $78.62	Professional	TC	$25.09	$44.05	$78.62
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $16.42 / $16.42 / $16.42	Facility	26	$16.42	$16.42	$16.42
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $59.04 / $76.73	Professional		$37.76	$59.04	$76.73
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $10.14 / $16.16 / $21.55	Professional	26	$10.14	$16.16	$21.55
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $27.62 / $42.04 / $55.18	Professional	TC	$27.62	$42.04	$55.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.08 / $34.88 / $58.74	Professional		$22.08	$34.88	$58.74
United Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $43.06 / $95.82	Professional		$34.52	$43.06	$95.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.68 / $12.08 / $26.56	Professional	26	$9.68	$12.08	$26.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.75 / $31.17 / $68.73	Professional	TC	$24.75	$31.17	$68.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $32.57 / $32.57	Professional		$32.57	$32.57	$32.57
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.55 / $8.55 / $8.55	Professional	26	$8.55	$8.55	$8.55
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $24.02 / $24.02 / $24.02	Professional	TC	$24.02	$24.02	$24.02