Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $31.70 / $49.38	Professional		$23.17	$31.70	$49.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.12 / $14.76 / $19.32	Professional	26	$11.12	$14.76	$19.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.05 / $16.34 / $31.51	Professional	TC	$12.05	$16.34	$31.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.01 / $25.01 / $25.01	Professional	26	$25.01	$25.01	$25.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $38.71 / $72.56	Professional		$23.85	$38.71	$72.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.34 / $17.05 / $28.55	Professional	26	$11.34	$17.05	$28.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.52 / $19.67 / $44.39	Professional	TC	$12.52	$19.67	$44.39
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $31.35 / $38.11	Professional		$17.59	$31.35	$38.11
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $6.67 / $13.54 / $18.13	Professional	26	$6.67	$13.54	$18.13
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $10.93 / $16.30 / $23.49	Professional	TC	$10.93	$16.30	$23.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $37.06 / $48.64	Professional		$27.43	$37.06	$48.64
United Facility/Professional Professional Modifier Low / Median / High Price $23.34 / $33.86 / $50.01	Professional		$23.34	$33.86	$50.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.00 / $14.73 / $21.87	Professional	26	$11.00	$14.73	$21.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.88 / $18.70 / $31.32	Professional	TC	$11.88	$18.70	$31.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $25.53 / $25.53	Professional		$25.53	$25.53	$25.53
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $12.00 / $12.00 / $12.00	Professional	26	$12.00	$12.00	$12.00
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $13.53 / $13.53 / $17.36	Professional	TC	$13.53	$13.53	$17.36