Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.16 / $17.35 / $18.94	Facility	26	$17.16	$17.35	$18.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $39.63 / $65.44	Professional		$25.70	$39.63	$65.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.42 / $21.50 / $29.97	Professional	26	$17.42	$21.50	$29.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.02 / $15.52 / $40.42	Professional	TC	$8.02	$15.52	$40.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.36 / $48.44 / $58.16	Professional		$45.36	$48.44	$58.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.34 / $19.38 / $19.48	Professional	26	$18.34	$19.38	$19.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.51 / $23.51 / $23.51	Facility	26	$23.51	$23.51	$23.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.08 / $57.95 / $105.71	Professional		$37.08	$57.95	$105.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.55 / $28.87 / $57.00	Professional	26	$18.55	$28.87	$57.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.65 / $30.12 / $60.62	Professional	TC	$12.65	$30.12	$60.62
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $34.15 / $58.25	Professional		$26.32	$34.15	$58.25
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $13.81 / $14.79 / $23.55	Professional	26	$13.81	$14.79	$23.55
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $8.47 / $20.34 / $32.04	Professional	TC	$8.47	$20.34	$32.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.39 / $34.88 / $60.14	Professional		$23.39	$34.88	$60.14
United Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $38.69 / $75.69	Professional		$25.30	$38.69	$75.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.00 / $21.88 / $40.86	Professional	26	$16.00	$21.88	$40.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.08 / $17.32 / $39.36	Professional	TC	$8.08	$17.32	$39.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.93 / $34.93 / $34.93	Professional		$34.93	$34.93	$34.93
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $13.66 / $13.66 / $13.66	Professional	26	$13.66	$13.66	$13.66
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $21.27 / $21.27 / $30.92	Professional	TC	$21.27	$21.27	$30.92