Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.10 / $28.00 / $107.49	Facility	26	$21.10	$28.00	$107.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $62.40 / $187.23	Professional		$42.30	$62.40	$187.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.10 / $35.56 / $793.60	Professional	26	$21.10	$35.56	$793.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.20 / $31.79 / $54.25	Professional	TC	$21.20	$31.79	$54.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.65 / $53.81 / $103.76	Professional		$50.65	$53.81	$103.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.45 / $38.18 / $52.16	Professional	26	$25.45	$38.18	$52.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.07 / $37.07 / $37.07	Facility	26	$37.07	$37.07	$37.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $82.99 / $129.38	Professional		$51.90	$82.99	$129.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.73 / $39.79 / $58.93	Professional	26	$25.73	$39.79	$58.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.95 / $42.87 / $72.41	Professional	TC	$26.95	$42.87	$72.41
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $44.31 / $47.48 / $89.46	Professional		$44.31	$47.48	$89.46
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $22.27 / $23.86 / $37.99	Professional	26	$22.27	$23.86	$37.99
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $22.04 / $23.62 / $54.48	Professional	TC	$22.04	$23.62	$54.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $45.17 / $83.55	Professional		$26.91	$45.17	$83.55
United Facility/Professional Professional Modifier Low / Median / High Price $52.70 / $71.15 / $120.56	Professional		$52.70	$71.15	$120.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.32 / $33.56 / $59.37	Professional	26	$25.32	$33.56	$59.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.08 / $40.10 / $63.26	Professional	TC	$26.08	$40.10	$63.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $39.78 / $39.78	Professional		$39.78	$39.78	$39.78
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $19.48 / $19.48 / $19.48	Professional	26	$19.48	$19.48	$19.48
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $20.29 / $20.29 / $20.29	Professional	TC	$20.29	$20.29	$20.29