Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.89 / $16.94 / $19.41	Facility	26	$16.89	$16.94	$19.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $49.01 / $79.31	Professional		$32.17	$49.01	$79.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.14 / $21.35 / $34.14	Professional	26	$17.14	$21.35	$34.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.23 / $23.08 / $44.64	Professional	TC	$13.23	$23.08	$44.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.33 / $52.84 / $82.58	Professional		$50.33	$52.84	$82.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.89 / $19.69 / $31.55	Professional	26	$17.89	$19.69	$31.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.15 / $23.15 / $23.15	Facility	26	$23.15	$23.15	$23.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.33 / $62.44 / $123.35	Professional		$43.33	$62.44	$123.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.14 / $28.84 / $55.95	Professional	26	$18.14	$28.84	$55.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.70 / $34.74 / $66.36	Professional	TC	$20.70	$34.74	$66.36
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $34.13 / $38.74 / $61.67	Professional		$34.13	$38.74	$61.67
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $13.47 / $14.44 / $25.12	Professional	26	$13.47	$14.44	$25.12
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $14.48 / $22.68 / $35.72	Professional	TC	$14.48	$22.68	$35.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.04 / $36.39 / $66.56	Professional		$25.04	$36.39	$66.56
United Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $46.19 / $86.10	Professional		$30.65	$46.19	$86.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.79 / $22.80 / $41.88	Professional	26	$15.79	$22.80	$41.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.24 / $23.31 / $46.86	Professional	TC	$13.24	$23.31	$46.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $41.60 / $41.60	Professional		$41.60	$41.60	$41.60
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $15.04 / $15.04 / $15.04	Professional	26	$15.04	$15.04	$15.04
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $26.56 / $26.56 / $34.47	Professional	TC	$26.56	$26.56	$34.47