Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $26.22 / $47.29	Professional		$19.67	$26.22	$47.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.68 / $20.65 / $26.90	Professional	26	$16.68	$20.65	$26.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.99 / $4.38 / $26.53	Professional	TC	$2.99	$4.38	$26.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.54 / $37.54 / $37.54	Professional	26	$37.54	$37.54	$37.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $30.95 / $74.75	Professional		$19.47	$30.95	$74.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.96 / $23.78 / $36.94	Professional	26	$15.96	$23.78	$36.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.74 / $5.15 / $38.15	Professional	TC	$2.74	$5.15	$38.15
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $28.84 / $61.85	Professional		$19.67	$28.84	$61.85
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $7.96 / $16.89 / $23.87	Professional	26	$7.96	$16.89	$23.87
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $3.52 / $4.92 / $23.42	Professional	TC	$3.52	$4.92	$23.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $24.51 / $34.10	Professional		$5.55	$24.51	$34.10
United Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $26.65 / $54.50	Professional		$18.50	$26.65	$54.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.28 / $18.50 / $33.77	Professional	26	$14.28	$18.50	$33.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.03 / $4.75 / $31.21	Professional	TC	$3.03	$4.75	$31.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $19.14 / $19.14	Professional		$19.14	$19.14	$19.14
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $15.83 / $15.83 / $15.83	Professional	26	$15.83	$15.83	$15.83
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $3.32 / $3.32 / $4.45	Professional	TC	$3.32	$3.32	$4.45