Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $162.18	Professional		$47.86	$61.66	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $36.31 / $75.86	Professional	26	$25.70	$36.31	$75.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $23.99 / $34.67	Professional	TC	$18.20	$23.99	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $100.00	Professional		$42.66	$60.26	$100.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Professional	26	$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $112.20	Professional		$44.67	$64.57	$112.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $38.90 / $66.07	Professional	26	$25.70	$38.90	$66.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $25.70 / $44.67	Professional	TC	$17.78	$25.70	$44.67
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $56.23 / $72.44	Professional		$28.18	$56.23	$72.44
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $33.11 / $41.69	Professional	26	$18.20	$33.11	$41.69
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $10.23 / $22.39 / $30.90	Professional	TC	$10.23	$22.39	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $79.43	Professional		$38.90	$51.29	$79.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $31.62 / $47.86	Professional	26	$23.99	$31.62	$47.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $20.42 / $32.36	Professional	TC	$14.45	$20.42	$32.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $61.66	Professional		$48.98	$48.98	$61.66
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $27.54 / $27.54	Professional	26	$27.54	$27.54	$27.54
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $20.89 / $20.89	Professional	TC	$20.89	$20.89	$20.89