Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.31 / $30.10 / $39.75	Facility	26	$29.31	$30.10	$39.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.86 / $66.97 / $116.31	Professional		$48.86	$66.97	$116.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.35 / $39.75 / $70.34	Professional	26	$32.35	$39.75	$70.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.80 / $25.84 / $45.30	Professional	TC	$15.80	$25.84	$45.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.94 / $66.66 / $125.70	Professional		$61.94	$66.66	$125.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.47 / $39.59 / $56.06	Professional	26	$33.47	$39.59	$56.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.86 / $40.86 / $40.86	Facility	26	$40.86	$40.86	$40.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.34 / $90.25 / $177.02	Professional		$61.34	$90.25	$177.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.09 / $54.56 / $102.54	Professional	26	$33.09	$54.56	$102.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.88 / $35.72 / $68.73	Professional	TC	$23.88	$35.72	$68.73
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $46.62 / $52.11 / $81.61	Professional		$46.62	$52.11	$81.61
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $23.94 / $25.65 / $45.11	Professional	26	$23.94	$25.65	$45.11
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $22.68 / $38.69	Professional	TC	$17.48	$22.68	$38.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $50.20 / $92.01	Professional		$28.83	$50.20	$92.01
United Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $67.84 / $128.87	Professional		$48.24	$67.84	$128.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.01 / $44.01 / $75.53	Professional	26	$30.01	$44.01	$75.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.09 / $25.54 / $48.12	Professional	TC	$16.09	$25.54	$48.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $54.13 / $54.13	Professional		$27.07	$54.13	$54.13
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $34.20 / $34.20 / $35.02	Professional	26	$34.20	$34.20	$35.02
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $32.40 / $34.47 / $34.47	Professional	TC	$32.40	$34.47	$34.47