Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.37 / $25.65 / $29.38	Facility	26	$25.37	$25.65	$29.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $60.86 / $95.35	Professional		$41.36	$60.86	$95.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.65 / $32.50 / $50.60	Professional	26	$25.65	$32.50	$50.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.12 / $24.99 / $45.32	Professional	TC	$14.12	$24.99	$45.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $61.97 / $116.38	Professional		$57.92	$61.97	$116.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.51 / $37.27 / $57.68	Professional	26	$27.51	$37.27	$57.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.10 / $35.10 / $35.10	Facility	26	$35.10	$35.10	$35.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $78.48 / $150.57	Professional		$54.98	$78.48	$150.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.88 / $44.12 / $85.18	Professional	26	$27.88	$44.12	$85.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.98 / $35.53 / $67.31	Professional	TC	$21.98	$35.53	$67.31
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $46.71 / $74.37	Professional		$43.60	$46.71	$74.37
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $20.70 / $22.18 / $37.65	Professional	26	$20.70	$22.18	$37.65
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $15.38 / $22.89 / $36.99	Professional	TC	$15.38	$22.89	$36.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $49.03 / $89.55	Professional		$28.42	$49.03	$89.55
United Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $57.46 / $105.51	Professional		$39.67	$57.46	$105.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.26 / $34.86 / $63.12	Professional	26	$24.26	$34.86	$63.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.50 / $24.06 / $46.96	Professional	TC	$14.50	$24.06	$46.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.81 / $50.81 / $50.81	Professional		$50.81	$50.81	$50.81
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $23.49 / $23.49 / $23.49	Professional	26	$23.49	$23.49	$23.49
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $27.32 / $27.32 / $34.79	Professional	TC	$27.32	$27.32	$34.79