Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.28 / $58.28 / $58.28	Facility	26	$58.28	$58.28	$58.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $22.10 / $34.72	Professional		$18.19	$22.10	$34.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.51 / $17.16 / $48.96	Professional	26	$13.51	$17.16	$48.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $4.24 / $5.49 / $8.52	Professional	TC	$4.24	$5.49	$8.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.04 / $34.04	Professional		$34.04	$34.04	$34.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.88 / $19.60 / $38.13	Professional	26	$9.88	$19.60	$38.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $23.79 / $45.17	Professional		$14.38	$23.79	$45.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.81 / $18.26 / $34.72	Professional	26	$10.81	$18.26	$34.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.61 / $5.52 / $11.38	Professional	TC	$3.61	$5.52	$11.38
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $28.18 / $42.07	Professional		$17.48	$28.18	$42.07
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $13.24 / $22.53 / $30.21	Professional	26	$13.24	$22.53	$30.21
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $4.25 / $7.44 / $11.86	Professional	TC	$4.25	$7.44	$11.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $22.72 / $38.73	Professional		$8.88	$22.72	$38.73
United Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $18.32 / $75.25	Professional		$13.82	$18.32	$75.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.55 / $14.06 / $58.70	Professional	26	$10.55	$14.06	$58.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.27 / $4.33 / $17.13	Professional	TC	$3.27	$4.33	$17.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $22.72 / $22.72	Professional		$10.22	$22.72	$22.72
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $16.07 / $16.07	Professional	26	$7.24	$16.07	$16.07
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $2.99 / $6.64 / $6.64	Professional	TC	$2.99	$6.64	$6.64