Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.71 / $20.71 / $23.54	Facility	26	$20.71	$20.71	$23.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $53.28 / $96.76	Professional		$36.38	$53.28	$96.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.71 / $26.22 / $41.54	Professional	26	$20.71	$26.22	$41.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $23.54 / $43.74	Professional	TC	$13.49	$23.54	$43.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.18 / $72.00 / $119.10	Professional		$51.18	$72.00	$119.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.18 / $32.20 / $45.18	Professional	26	$22.18	$32.20	$45.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.51 / $28.51 / $28.51	Facility	26	$28.51	$28.51	$28.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $68.51 / $133.59	Professional		$47.64	$68.51	$133.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.76 / $35.39 / $69.73	Professional	26	$22.76	$35.39	$69.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.29 / $34.11 / $65.09	Professional	TC	$20.29	$34.11	$65.09
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $41.28 / $65.72	Professional		$37.97	$41.28	$65.72
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $16.70 / $17.89 / $30.95	Professional	26	$16.70	$17.89	$30.95
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $14.18 / $21.83 / $35.10	Professional	TC	$14.18	$21.83	$35.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $48.24 / $87.51	Professional		$28.00	$48.24	$87.51
United Facility/Professional Professional Modifier Low / Median / High Price $34.42 / $50.33 / $92.11	Professional		$34.42	$50.33	$92.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.36 / $27.84 / $49.84	Professional	26	$19.36	$27.84	$49.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.29 / $23.17 / $43.99	Professional	TC	$13.29	$23.17	$43.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $44.94 / $44.94	Professional		$44.94	$44.94	$44.94
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $18.89 / $18.89 / $18.89	Professional	26	$18.89	$18.89	$18.89
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $26.04 / $26.04 / $33.18	Professional	TC	$26.04	$26.04	$33.18