Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $49.62 / $70.00	Professional		$36.96	$49.62	$70.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.34 / $8.09 / $11.00	Professional	26	$6.34	$8.09	$11.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.63 / $41.48 / $56.17	Professional	TC	$30.63	$41.48	$56.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.07 / $37.07 / $52.55	Professional		$37.07	$37.07	$52.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $50.64 / $94.71	Professional		$36.38	$50.64	$94.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.36 / $9.24 / $17.47	Professional	26	$6.36	$9.24	$17.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.01 / $42.26 / $78.01	Professional	TC	$30.01	$42.26	$78.01
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $32.94 / $59.98	Professional		$15.72	$32.94	$59.98
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $3.31 / $7.17 / $10.46	Professional	26	$3.31	$7.17	$10.46
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $12.41 / $25.90 / $49.94	Professional	TC	$12.41	$25.90	$49.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.76 / $37.06 / $58.93	Professional		$26.76	$37.06	$58.93
United Facility/Professional Professional Modifier Low / Median / High Price $31.51 / $42.25 / $64.41	Professional		$31.51	$42.25	$64.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.04 / $7.88 / $11.71	Professional	26	$6.04	$7.88	$11.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.39 / $33.84 / $52.70	Professional	TC	$25.39	$33.84	$52.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.62 / $41.62 / $41.62	Professional		$41.62	$41.62	$41.62
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.64 / $6.64 / $6.64	Professional	26	$6.64	$6.64	$6.64
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $34.97 / $34.97 / $44.48	Professional	TC	$34.97	$34.97	$44.48