Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.30 / $65.30 / $65.30	Facility	26	$65.30	$65.30	$65.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $47.30 / $68.66	Professional		$33.02	$47.30	$68.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.12 / $18.73 / $28.04	Professional	26	$15.12	$18.73	$28.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.97 / $27.45 / $45.00	Professional	TC	$18.97	$27.45	$45.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.75 / $38.75 / $38.75	Professional	26	$38.75	$38.75	$38.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.78 / $51.25 / $98.68	Professional		$29.78	$51.25	$98.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.38 / $21.03 / $39.64	Professional	26	$12.38	$21.03	$39.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.55 / $30.90 / $60.43	Professional	TC	$17.55	$30.90	$60.43
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $38.24 / $57.80 / $98.05	Professional		$38.24	$57.80	$98.05
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $17.43 / $28.23 / $35.46	Professional	26	$17.43	$28.23	$35.46
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $20.81 / $26.74 / $65.65	Professional	TC	$20.81	$26.74	$65.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.24 / $79.72 / $125.25	Professional		$41.24	$79.72	$125.25
United Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $40.31 / $157.05	Professional		$31.57	$40.31	$157.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.01 / $15.64 / $65.15	Professional	26	$12.01	$15.64	$65.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.89 / $24.67 / $89.53	Professional	TC	$16.89	$24.67	$89.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $59.72 / $59.72	Professional		$26.87	$59.72	$59.72
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.89 / $17.54 / $17.54	Professional	26	$7.89	$17.54	$17.54
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $18.98 / $42.18 / $42.18	Professional	TC	$18.98	$42.18	$42.18