Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.33 / $14.70 / $19.41	Facility	26	$14.33	$14.70	$19.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $44.10 / $78.81	Professional		$29.32	$44.10	$78.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.82 / $19.57 / $30.77	Professional	26	$15.82	$19.57	$30.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.07 / $21.47 / $39.36	Professional	TC	$12.07	$21.47	$39.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.70 / $44.67 / $60.53	Professional		$41.70	$44.67	$60.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.55 / $22.55 / $27.37	Professional	26	$22.55	$22.55	$27.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.05 / $20.05 / $20.05	Facility	26	$20.05	$20.05	$20.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $55.85 / $109.31	Professional		$38.97	$55.85	$109.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.25 / $26.67 / $50.74	Professional	26	$16.25	$26.67	$50.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.63 / $30.72 / $58.43	Professional	TC	$18.63	$30.72	$58.43
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $33.63 / $53.55	Professional		$31.39	$33.63	$53.55
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $11.69 / $12.52 / $24.54	Professional	26	$11.69	$12.52	$24.54
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $13.28 / $19.70 / $31.40	Professional	TC	$13.28	$19.70	$31.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $35.70 / $63.81	Professional		$23.78	$35.70	$63.81
United Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $41.68 / $76.86	Professional		$28.62	$41.68	$76.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.37 / $22.08 / $38.10	Professional	26	$14.37	$22.08	$38.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.17 / $20.78 / $41.85	Professional	TC	$12.17	$20.78	$41.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $36.77	Professional		$36.77	$36.77	$36.77
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $13.28 / $13.28 / $13.28	Professional	26	$13.28	$13.28	$13.28
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $23.49 / $23.49 / $29.95	Professional	TC	$23.49	$23.49	$29.95