Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.62 / $70.62 / $70.62	Facility	26	$70.62	$70.62	$70.62
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $163.30 / $167.67 / $335.34	Facility	TC	$163.30	$167.67	$335.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.63 / $78.06 / $184.46	Professional		$56.63	$78.06	$184.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.89 / $31.73 / $191.61	Professional	26	$16.89	$31.73	$191.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.22 / $68.93 / $132.38	Professional	TC	$44.22	$68.93	$132.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.73 / $56.12 / $127.16	Professional		$49.73	$56.12	$127.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.12 / $13.00 / $40.42	Professional	26	$12.12	$13.00	$40.42
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $39.39 / $39.40 / $73.16	Professional	TC	$39.39	$39.40	$73.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.23 / $78.66 / $149.58	Professional		$47.23	$78.66	$149.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $23.38 / $43.21	Professional	26	$13.18	$23.38	$43.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.52 / $56.66 / $108.57	Professional	TC	$34.52	$56.66	$108.57
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $50.97 / $87.85 / $155.13	Professional		$50.97	$87.85	$155.13
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $18.98 / $29.41 / $36.95	Professional	26	$18.98	$29.41	$36.95
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $37.11 / $63.06 / $126.10	Professional	TC	$37.11	$63.06	$126.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $118.58 / $171.60	Professional		$41.36	$118.58	$171.60
United Facility/Professional Professional Modifier Low / Median / High Price $47.41 / $61.67 / $214.38	Professional		$47.41	$61.67	$214.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.66 / $16.64 / $67.18	Professional	26	$12.66	$16.64	$67.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.27 / $45.61 / $158.80	Professional	TC	$35.27	$45.61	$158.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $85.52 / $85.52	Professional		$38.47	$85.52	$85.52
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.85 / $19.66 / $19.66	Professional	26	$8.85	$19.66	$19.66
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $29.64 / $65.86 / $65.86	Professional	TC	$29.64	$65.86	$65.86