Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.43 / $80.43 / $80.43	Facility	26	$80.43	$80.43	$80.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $37.14 / $62.88	Professional		$24.85	$37.14	$62.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.10 / $25.94 / $307.47	Professional	26	$19.10	$25.94	$307.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.76 / $14.50 / $24.80	Professional	TC	$6.76	$14.50	$24.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $25.02 / $38.51	Professional		$24.81	$25.02	$38.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.00 / $28.38 / $46.52	Professional	26	$13.00	$28.38	$46.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $39.88 / $79.22	Professional		$22.41	$39.88	$79.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.86 / $26.28 / $49.26	Professional	26	$14.86	$26.28	$49.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $6.52 / $12.66 / $32.50	Professional	TC	$6.52	$12.66	$32.50
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $43.45 / $74.31	Professional		$29.00	$43.45	$74.31
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $21.33 / $33.88 / $42.56	Professional	26	$21.33	$33.88	$42.56
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $7.67 / $9.80 / $27.70	Professional	TC	$7.67	$9.80	$27.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $45.19 / $83.55	Professional		$29.56	$45.19	$83.55
United Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $32.43 / $111.16	Professional		$23.42	$32.43	$111.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.78 / $19.30 / $76.88	Professional	26	$14.78	$19.30	$76.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.00 / $13.21 / $46.20	Professional	TC	$6.00	$13.21	$46.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $41.87 / $41.87	Professional		$18.84	$41.87	$41.87
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $10.22 / $22.72 / $22.72	Professional	26	$10.22	$22.72	$22.72
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $8.61 / $19.14 / $19.14	Professional	TC	$8.61	$19.14	$19.14