Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.17 / $15.60 / $17.69	Facility	26	$15.17	$15.60	$17.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $38.11 / $123.96	Professional		$26.98	$38.11	$123.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.17 / $21.21 / $34.51	Professional	26	$15.17	$21.21	$34.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.82 / $16.68 / $88.57	Professional	TC	$11.82	$16.68	$88.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $61.84 / $61.84	Professional		$61.84	$61.84	$61.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.27 / $33.27 / $33.27	Professional	26	$33.27	$33.27	$33.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.05 / $24.05 / $63.56	Facility	26	$24.05	$24.05	$63.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.39 / $56.93 / $174.50	Professional		$32.39	$56.93	$174.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.89 / $32.03 / $58.09	Professional	26	$17.89	$32.03	$58.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.16 / $25.03 / $125.59	Professional	TC	$14.16	$25.03	$125.59
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $57.48 / $107.82	Professional		$25.47	$57.48	$107.82
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $14.07 / $24.12 / $45.71	Professional	26	$14.07	$24.12	$45.71
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $11.40 / $34.89 / $68.18	Professional	TC	$11.40	$34.89	$68.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $34.47 / $56.73	Professional		$19.47	$34.47	$56.73
United Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $51.69 / $149.79	Professional		$31.70	$51.69	$149.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.96 / $28.07 / $51.01	Professional	26	$17.96	$28.07	$51.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.95 / $20.83 / $100.28	Professional	TC	$12.95	$20.83	$100.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $29.62 / $29.62	Professional		$29.62	$29.62	$29.62
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $16.09 / $16.09 / $16.09	Professional	26	$16.09	$16.09	$16.09
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $13.53 / $13.53 / $17.36	Professional	TC	$13.53	$13.53	$17.36