Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.12 / $59.12 / $59.12	Facility	26	$59.12	$59.12	$59.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.24 / $51.27 / $105.28	Professional		$42.24	$51.27	$105.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.47 / $21.39 / $84.15	Professional	26	$14.47	$21.39	$84.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.77 / $31.57 / $52.80	Professional	TC	$25.77	$31.57	$52.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $41.14 / $65.05	Professional		$31.32	$41.14	$65.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.39 / $20.25 / $34.26	Professional	26	$10.39	$20.25	$34.26
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $34.27 / $34.27 / $41.35	Professional	TC	$34.27	$34.27	$41.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $48.89 / $105.35	Professional		$32.02	$48.89	$105.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.11 / $19.28 / $39.93	Professional	26	$11.11	$19.28	$39.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.23 / $31.61 / $65.06	Professional	TC	$20.23	$31.61	$65.06
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $65.00 / $129.99	Professional		$40.75	$65.00	$129.99
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $19.77 / $25.79 / $35.27	Professional	26	$19.77	$25.79	$35.27
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $39.22 / $66.39	Professional	TC	$15.85	$39.22	$66.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.19 / $50.46 / $86.37	Professional		$30.19	$50.46	$86.37
United Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $42.52 / $164.95	Professional		$28.81	$42.52	$164.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.71 / $14.84 / $58.03	Professional	26	$10.71	$14.84	$58.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $28.78 / $88.25	Professional	TC	$18.82	$28.78	$88.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.12 / $53.61 / $53.61	Professional		$24.12	$53.61	$53.61
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.47 / $16.59 / $16.59	Professional	26	$7.47	$16.59	$16.59
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $16.66 / $37.02 / $37.02	Professional	TC	$16.66	$37.02	$37.02