Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.47 / $58.81 / $80.29	Professional		$43.47	$58.81	$80.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.69 / $34.29 / $44.41	Professional	26	$25.69	$34.29	$44.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $24.37 / $31.89	Professional	TC	$17.78	$24.37	$31.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.80 / $100.80 / $100.80	Professional		$100.80	$100.80	$100.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.01 / $57.01 / $57.01	Professional	26	$57.01	$57.01	$57.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $64.72 / $112.00	Professional		$43.43	$64.72	$112.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.80 / $38.56 / $65.81	Professional	26	$25.80	$38.56	$65.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.96 / $25.81 / $43.30	Professional	TC	$17.96	$25.81	$43.30
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $50.97 / $71.34	Professional		$19.50	$50.97	$71.34
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $12.54 / $29.56 / $41.38	Professional	26	$12.54	$29.56	$41.38
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $6.97 / $21.41 / $29.98	Professional	TC	$6.97	$21.41	$29.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $46.19 / $85.23	Professional		$32.28	$46.19	$85.23
United Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $52.68 / $85.61	Professional		$39.26	$52.68	$85.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.69 / $31.97 / $52.44	Professional	26	$24.69	$31.97	$52.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.80 / $21.03 / $34.36	Professional	TC	$14.80	$21.03	$34.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.77 / $48.77 / $48.77	Professional		$48.77	$48.77	$48.77
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $27.83 / $27.83 / $27.83	Professional	26	$27.83	$27.83	$27.83
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $20.94 / $20.94 / $26.72	Professional	TC	$20.94	$20.94	$26.72