Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $22.31	Facility		$20.00	$20.00	$22.31
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.42 / $33.42 / $33.42	Facility	26	$33.42	$33.42	$33.42
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.93 / $20.93 / $22.31	Facility	TC	$20.93	$20.93	$22.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $16.44 / $37.86	Professional		$12.63	$16.44	$37.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $12.83 / $65.72	Professional	26	$7.67	$12.83	$65.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.97 / $6.34 / $12.94	Professional	TC	$3.97	$6.34	$12.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $10.50 / $22.83	Professional		$9.34	$10.50	$22.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.67 / $13.00 / $19.64	Professional	26	$5.67	$13.00	$19.64
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $5.89 / $5.89 / $5.89	Professional	TC	$5.89	$5.89	$5.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $16.97 / $33.13	Professional		$10.13	$16.97	$33.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.06 / $10.34 / $19.64	Professional	26	$6.06	$10.34	$19.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.88 / $6.08 / $13.27	Professional	TC	$3.88	$6.08	$13.27
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $19.16 / $29.03	Professional		$13.66	$19.16	$29.03
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $8.88 / $13.83 / $17.37	Professional	26	$8.88	$13.83	$17.37
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $3.76 / $5.66 / $11.32	Professional	TC	$3.76	$5.66	$11.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $13.78 / $28.08	Professional		$8.61	$13.78	$28.08
United Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $12.97 / $51.70	Professional		$10.21	$12.97	$51.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.99 / $7.75 / $31.01	Professional	26	$5.99	$7.75	$31.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.53 / $5.22 / $18.12	Professional	TC	$3.53	$5.22	$18.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $15.57 / $15.57	Professional		$7.01	$15.57	$15.57
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $4.13 / $9.19 / $9.19	Professional	26	$4.13	$9.19	$9.19
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $2.87 / $6.38 / $6.38	Professional	TC	$2.87	$6.38	$6.38