Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.46 / $101.46 / $101.46	Facility	26	$101.46	$101.46	$101.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $40.11 / $61.22	Professional		$35.04	$40.11	$61.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.97 / $29.35 / $72.76	Professional	26	$22.97	$29.35	$72.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.10 / $12.40 / $19.60	Professional	TC	$11.10	$12.40	$19.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.86 / $63.86 / $63.86	Professional		$63.86	$63.86	$63.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.00 / $41.92 / $56.93	Professional	26	$13.00	$41.92	$56.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $45.47 / $85.35	Professional		$27.43	$45.47	$85.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.19 / $31.71 / $58.57	Professional	26	$18.19	$31.71	$58.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.24 / $14.12 / $27.51	Professional	TC	$9.24	$14.12	$27.51
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $40.82 / $52.13 / $78.55	Professional		$40.82	$52.13	$78.55
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $26.57 / $34.72 / $52.09	Professional	26	$26.57	$34.72	$52.09
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $13.31 / $17.34 / $26.45	Professional	TC	$13.31	$17.34	$26.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $45.28 / $83.55	Professional		$29.13	$45.28	$83.55
United Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $34.94 / $130.09	Professional		$26.20	$34.94	$130.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.04 / $23.49 / $83.48	Professional	26	$18.04	$23.49	$83.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.16 / $11.54 / $40.96	Professional	TC	$8.16	$11.54	$40.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $42.63 / $42.63	Professional		$19.18	$42.63	$42.63
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $12.52 / $27.82 / $27.82	Professional	26	$12.52	$27.82	$27.82
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $6.66 / $14.81 / $14.81	Professional	TC	$6.66	$14.81	$14.81