Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $16.98 / $18.20	Facility	26	$16.98	$16.98	$18.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $52.48 / $97.72	Professional		$28.84	$52.48	$97.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $21.88 / $42.66	Professional	26	$16.98	$21.88	$42.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $28.84 / $52.48	Professional	TC	$10.00	$28.84	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $57.54 / $93.33	Professional		$28.84	$57.54	$93.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $19.50 / $27.54	Professional	26	$18.20	$19.50	$27.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.01 / $23.44 / $33.11	Facility	26	$5.01	$23.44	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $57.54 / $120.23	Professional		$37.15	$57.54	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $28.84 / $58.88	Professional	26	$19.05	$28.84	$58.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $30.90 / $66.07	Professional	TC	$12.59	$30.90	$66.07
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $35.48 / $54.95	Professional		$13.18	$35.48	$54.95
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.79 / $22.39	Professional	26	$8.91	$14.79	$22.39
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $4.27 / $21.38 / $29.51	Professional	TC	$4.27	$21.38	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $33.11 / $64.57	Professional		$21.38	$33.11	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $39.81 / $77.62	Professional		$25.70	$39.81	$77.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $21.88 / $40.74	Professional	26	$15.85	$21.88	$40.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $7.94 / $16.98 / $38.90	Professional	TC	$7.94	$16.98	$38.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $51.29	Professional		$34.67	$34.67	$51.29
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $13.80 / $19.95	Professional	26	$13.80	$13.80	$19.95
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $21.38 / $30.90	Professional	TC	$21.38	$21.38	$30.90