Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.48 / $71.48 / $71.48	Facility	26	$71.48	$71.48	$71.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.40 / $93.93 / $578.76	Professional		$45.40	$93.93	$578.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.07 / $22.85 / $110.98	Professional	26	$17.07	$22.85	$110.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.26 / $36.25 / $102.92	Professional	TC	$27.26	$36.25	$102.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $68.30 / $125.75	Professional		$55.20	$68.30	$125.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.43 / $32.32 / $137.60	Professional	26	$13.43	$32.32	$137.60
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $70.42 / $70.42 / $70.42	Professional	TC	$70.42	$70.42	$70.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $67.09 / $131.44	Professional		$36.04	$67.09	$131.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.07 / $23.71 / $45.90	Professional	26	$14.07	$23.71	$45.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.64 / $43.96 / $87.38	Professional	TC	$21.64	$43.96	$87.38
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $77.64 / $123.11	Professional		$51.90	$77.64	$123.11
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $20.41 / $29.85 / $40.28	Professional	26	$20.41	$29.85	$40.28
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $31.49 / $46.98 / $90.74	Professional	TC	$31.49	$46.98	$90.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.24 / $85.68 / $167.82	Professional		$41.24	$85.68	$167.82
United Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $54.35 / $191.46	Professional		$40.40	$54.35	$191.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $18.19 / $74.63	Professional	26	$13.80	$18.19	$74.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.11 / $36.35 / $127.74	Professional	TC	$24.11	$36.35	$127.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.93 / $73.17 / $73.17	Professional		$32.93	$73.17	$73.17
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $18.57 / $18.57	Professional	26	$8.36	$18.57	$18.57
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $24.57 / $54.60 / $54.60	Professional	TC	$24.57	$54.60	$54.60