Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.50 / $11.03 / $12.43	Facility	26	$8.50	$11.03	$12.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $35.25 / $66.94	Professional		$28.15	$35.25	$66.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.86 / $12.45 / $21.57	Professional	26	$9.86	$12.45	$21.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.61 / $21.58 / $32.07	Professional	TC	$17.61	$21.58	$32.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.86 / $27.20 / $39.60	Professional		$25.86	$27.20	$39.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.64 / $16.39 / $19.00	Professional	26	$9.64	$16.39	$19.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.90 / $11.90 / $40.54	Facility	26	$11.90	$11.90	$40.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $42.73 / $69.73	Professional		$26.78	$42.73	$69.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.69 / $16.76 / $27.91	Professional	26	$9.69	$16.76	$27.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.82 / $27.00 / $45.91	Professional	TC	$17.82	$27.00	$45.91
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $28.42 / $40.50	Professional		$19.89	$28.42	$40.50
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $7.00 / $11.76 / $16.47	Professional	26	$7.00	$11.76	$16.47
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $12.07 / $16.98 / $24.29	Professional	TC	$12.07	$16.98	$24.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $33.96 / $56.57	Professional		$23.25	$33.96	$56.57
United Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $39.04 / $73.27	Professional		$27.84	$39.04	$73.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.81 / $15.77 / $29.04	Professional	26	$10.81	$15.77	$29.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.21 / $24.16 / $45.09	Professional	TC	$17.21	$24.16	$45.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $23.23 / $23.23	Professional		$23.23	$23.23	$23.23
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $7.92 / $7.92	Professional	26	$7.92	$7.92	$7.92
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $15.32 / $15.32 / $15.32	Professional	TC	$15.32	$15.32	$15.32