Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.64 / $23.64 / $64.81	Facility		$23.64	$23.64	$64.81
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.25 / $19.25 / $19.25	Facility	26	$19.25	$19.25	$19.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $29.98 / $59.69	Professional		$20.91	$29.98	$59.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.26 / $7.66 / $45.75	Professional	26	$4.26	$7.66	$45.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.78 / $23.79 / $41.79	Professional	TC	$15.78	$23.79	$41.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.92 / $19.98 / $31.00	Professional		$14.92	$19.98	$31.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.12 / $7.93 / $13.00	Professional	26	$3.12	$7.93	$13.00
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $12.25 / $12.25 / $12.25	Professional	TC	$12.25	$12.25	$12.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.99 / $58.49	Professional		$15.85	$26.99	$58.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.42 / $6.02 / $11.79	Professional	26	$3.42	$6.02	$11.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.35 / $21.35 / $48.35	Professional	TC	$12.35	$21.35	$48.35
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $39.19 / $50.77	Professional		$31.00	$39.19	$50.77
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $4.98 / $7.84 / $9.81	Professional	26	$4.98	$7.84	$9.81
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $24.50 / $31.00 / $37.32	Professional	TC	$24.50	$31.00	$37.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $36.22 / $48.42	Professional		$25.46	$36.22	$48.42
United Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $25.12 / $77.80	Professional		$14.66	$25.12	$77.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.39 / $4.34 / $16.02	Professional	26	$3.39	$4.34	$16.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.08 / $20.55 / $57.60	Professional	TC	$11.08	$20.55	$57.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $25.53 / $25.53	Professional		$11.49	$25.53	$25.53
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $2.29 / $5.11 / $5.11	Professional	26	$2.29	$5.11	$5.11
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $9.19 / $20.42 / $20.42	Professional	TC	$9.19	$20.42	$20.42