Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.49 / $44.60 / $72.33	Professional		$32.49	$44.60	$72.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.71 / $19.32 / $25.76	Professional	26	$14.71	$19.32	$25.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $24.37 / $44.99	Professional	TC	$17.78	$24.37	$44.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.44 / $74.44 / $74.44	Professional		$74.44	$74.44	$74.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $32.22 / $32.22 / $32.22	Professional	26	$32.22	$32.22	$32.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $52.03 / $94.84	Professional		$33.34	$52.03	$94.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.66 / $22.36 / $37.89	Professional	26	$14.66	$22.36	$37.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.68 / $29.35 / $53.61	Professional	TC	$18.68	$29.35	$53.61
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $43.72 / $52.66	Professional		$23.54	$43.72	$52.66
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $17.54 / $23.50	Professional	26	$8.41	$17.54	$23.50
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $24.21 / $32.59	Professional	TC	$15.14	$24.21	$32.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $37.63 / $49.35	Professional		$28.46	$37.63	$49.35
United Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $46.70 / $70.31	Professional		$32.79	$46.70	$70.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.66 / $19.01 / $28.89	Professional	26	$14.66	$19.01	$28.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $27.73 / $42.88	Professional	TC	$17.89	$27.73	$42.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $35.75 / $35.75	Professional		$35.75	$35.75	$35.75
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $15.58 / $15.58 / $15.58	Professional	26	$15.58	$15.58	$15.58
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $20.17 / $20.17 / $25.75	Professional	TC	$20.17	$20.17	$25.75