Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.24 / $95.24 / $95.24	Facility	26	$95.24	$95.24	$95.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $43.20 / $70.31	Professional		$32.56	$43.20	$70.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.11 / $29.36 / $110.09	Professional	26	$22.11	$29.36	$110.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.52 / $15.02 / $22.81	Professional	TC	$12.52	$15.02	$22.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.54 / $64.54 / $64.54	Professional		$64.54	$64.54	$64.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.00 / $32.83 / $53.86	Professional	26	$13.00	$32.83	$53.86
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.59 / $15.59 / $15.59	Professional	TC	$15.59	$15.59	$15.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $44.65 / $86.00	Professional		$27.09	$44.65	$86.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.19 / $30.01 / $55.49	Professional	26	$17.19	$30.01	$55.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.69 / $15.21 / $30.01	Professional	TC	$9.69	$15.21	$30.01
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $30.26 / $60.96 / $79.59	Professional		$30.26	$60.96	$79.59
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $21.59 / $35.57 / $49.24	Professional	26	$21.59	$35.57	$49.24
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $16.61 / $24.40 / $30.87	Professional	TC	$16.61	$24.40	$30.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.46 / $45.28 / $83.55	Professional		$29.46	$45.28	$83.55
United Facility/Professional Professional Modifier Low / Median / High Price $26.01 / $33.36 / $131.63	Professional		$26.01	$33.36	$131.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.05 / $22.43 / $84.55	Professional	26	$17.05	$22.43	$84.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.97 / $12.53 / $46.50	Professional	TC	$8.97	$12.53	$46.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $43.14 / $43.14	Professional		$19.41	$43.14	$43.14
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $11.83 / $26.29 / $26.29	Professional	26	$11.83	$26.29	$26.29
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $7.58 / $16.85 / $16.85	Professional	TC	$7.58	$16.85	$16.85