Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.86 / $12.00 / $13.09	Facility	26	$11.86	$12.00	$13.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $34.40 / $63.31	Professional		$22.11	$34.40	$63.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.00 / $15.12 / $22.45	Professional	26	$12.00	$15.12	$22.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.75 / $17.45 / $38.97	Professional	TC	$9.75	$17.45	$38.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.67 / $18.67 / $18.67	Professional	26	$18.67	$18.67	$18.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.55 / $16.55 / $16.55	Facility	26	$16.55	$16.55	$16.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $48.83 / $90.31	Professional		$31.94	$48.83	$90.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.03 / $20.20 / $40.02	Professional	26	$13.03	$20.20	$40.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.34 / $29.19 / $58.22	Professional	TC	$15.34	$29.19	$58.22
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $28.95 / $49.39	Professional		$22.79	$28.95	$49.39
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $9.68 / $10.37 / $16.84	Professional	26	$9.68	$10.37	$16.84
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $10.27 / $19.27 / $30.37	Professional	TC	$10.27	$19.27	$30.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $34.88 / $59.67	Professional		$21.28	$34.88	$59.67
United Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $33.50 / $66.23	Professional		$21.66	$33.50	$66.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $15.45 / $26.81	Professional	26	$11.07	$15.45	$26.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.66 / $17.57 / $40.11	Professional	TC	$9.66	$17.57	$40.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.02 / $29.02 / $29.02	Professional		$29.02	$29.02	$29.02
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $9.38 / $9.38	Professional	26	$9.38	$9.38	$9.38
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $19.64 / $19.64 / $29.30	Professional	TC	$19.64	$19.64	$29.30