Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $25.70 / $83.18	Facility	26	$15.14	$25.70	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $45.71 / $128.82	Professional		$25.70	$45.71	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $28.18 / $67.61	Professional	26	$15.85	$28.18	$67.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $18.20 / $70.79	Professional	TC	$10.96	$18.20	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $32.36 / $56.23	Professional		$30.90	$32.36	$56.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $25.70 / $41.69	Professional	26	$18.62	$25.70	$41.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.89 / $27.54 / $38.90	Facility	26	$5.89	$27.54	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $69.18 / $131.83	Professional		$32.36	$69.18	$131.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $31.62 / $50.12	Professional	26	$19.50	$31.62	$50.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $42.66 / $89.13	Professional	TC	$12.59	$42.66	$89.13
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.20 / $91.20	Professional		$28.18	$30.20	$91.20
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $17.38 / $32.36	Professional	26	$16.60	$17.38	$32.36
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $12.30 / $57.54	Professional	TC	$11.48	$12.30	$57.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $31.62 / $44.67	Professional		$13.80	$31.62	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $64.57 / $104.71	Professional		$38.02	$64.57	$104.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $26.92 / $43.65	Professional	26	$19.50	$26.92	$43.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $38.02 / $70.79	Professional	TC	$18.20	$38.02	$70.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $39.81	Professional		$31.62	$31.62	$39.81
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $18.20 / $23.44	Professional	26	$18.20	$18.20	$23.44
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $12.88 / $16.60	Professional	TC	$12.88	$12.88	$16.60