Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.72 / $53.72 / $53.72	Facility	26	$53.72	$53.72	$53.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.27 / $52.43 / $70.73	Professional		$38.27	$52.43	$70.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.82 / $18.66 / $28.75	Professional	26	$12.82	$18.66	$28.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.62 / $34.31 / $44.11	Professional	TC	$24.62	$34.31	$44.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $75.06 / $75.06	Professional		$75.06	$75.06	$75.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.19 / $28.19 / $28.19	Professional	26	$28.19	$28.19	$28.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.61 / $57.67 / $110.07	Professional		$30.61	$57.67	$110.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.76 / $20.87 / $40.50	Professional	26	$10.76	$20.87	$40.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.36 / $36.31 / $69.59	Professional	TC	$20.36	$36.31	$69.59
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $36.35 / $62.13 / $91.79	Professional		$36.35	$62.13	$91.79
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $22.49 / $34.97	Professional	26	$12.59	$22.49	$34.97
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $23.76 / $39.97 / $56.81	Professional	TC	$23.76	$39.97	$56.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.46 / $45.23 / $83.59	Professional		$29.46	$45.23	$83.59
United Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $43.39 / $160.58	Professional		$33.92	$43.39	$160.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.07 / $16.55 / $63.63	Professional	26	$12.07	$16.55	$63.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.40 / $26.84 / $102.60	Professional	TC	$21.40	$26.84	$102.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.46 / $38.79 / $38.79	Professional		$17.46	$38.79	$38.79
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.47 / $14.37 / $14.37	Professional	26	$6.47	$14.37	$14.37
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $10.99 / $24.42 / $24.42	Professional	TC	$10.99	$24.42	$24.42