Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $75.86	Facility		$27.54	$27.54	$75.86
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $12.59 / $12.59	Facility	26	$12.59	$12.59	$12.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $44.67	Professional		$10.96	$15.14	$44.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $6.46 / $23.44	Professional	26	$3.02	$6.46	$23.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.08 / $10.96 / $25.12	Professional	TC	$7.08	$10.96	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $15.14	Professional		$8.91	$10.00	$15.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.24 / $6.17 / $12.88	Professional	26	$2.24	$6.17	$12.88
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $7.24 / $7.24 / $7.24	Professional	TC	$7.24	$7.24	$7.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.59 / $29.51	Professional		$7.59	$12.59	$29.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.24 / $3.80 / $7.41	Professional	26	$2.24	$3.80	$7.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $5.37 / $9.12 / $21.38	Professional	TC	$5.37	$9.12	$21.38
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $41.69	Professional		$16.98	$19.95	$41.69
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $3.47 / $5.37 / $8.51	Professional	26	$3.47	$5.37	$8.51
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $13.80 / $33.88	Professional	TC	$11.75	$13.80	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $32.36 / $33.11	Professional		$6.17	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $5.25 / $13.18	Facility		$1.78	$5.25	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $13.18 / $39.81	Professional		$7.59	$13.18	$39.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.24 / $3.02 / $11.75	Professional	26	$2.24	$3.02	$11.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $5.37 / $9.55 / $30.20	Professional	TC	$5.37	$9.55	$30.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $12.88 / $12.88	Professional		$5.75	$12.88	$12.88
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $1.48 / $3.31 / $3.31	Professional	26	$1.48	$3.31	$3.31
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $4.27 / $9.33 / $9.33	Professional	TC	$4.27	$9.33	$9.33