Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $47.86	Professional		$19.95	$25.70	$47.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.95 / $25.70	Professional	26	$15.85	$19.95	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $23.99	Professional	TC	$3.02	$3.98	$23.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $31.62 / $66.07	Professional		$19.50	$31.62	$66.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $22.91 / $37.15	Professional	26	$16.22	$22.91	$37.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.75 / $5.25 / $35.48	Professional	TC	$2.75	$5.25	$35.48
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $28.18 / $52.48	Professional		$19.50	$28.18	$52.48
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $16.60 / $23.44	Professional	26	$7.94	$16.60	$23.44
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $3.55 / $5.01 / $23.44	Professional	TC	$3.55	$5.01	$23.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $32.36 / $33.11	Professional		$7.76	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.92 / $54.95	Professional		$18.20	$26.92	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $18.20 / $30.20	Professional	26	$14.13	$18.20	$30.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.95 / $4.79 / $33.11	Professional	TC	$2.95	$4.79	$33.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $15.85 / $15.85	Professional	26	$15.85	$15.85	$15.85
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $3.31 / $3.31 / $3.31	Professional	TC	$3.31	$3.31	$3.31