Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $11.48 / $12.88	Facility	26	$10.96	$11.48	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $81.28	Professional		$41.69	$52.48	$81.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.14 / $25.70	Professional	26	$12.02	$15.14	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $36.31 / $57.54	Professional	TC	$28.84	$36.31	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $19.05 / $19.05	Professional	26	$19.05	$19.05	$19.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.39 / $15.85 / $22.39	Facility	26	$3.39	$15.85	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $67.61 / $138.04	Professional		$41.69	$67.61	$138.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $20.42 / $41.69	Professional	26	$13.18	$20.42	$41.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $46.77 / $97.72	Professional	TC	$28.18	$46.77	$97.72
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $29.51 / $58.88	Professional		$22.91	$29.51	$58.88
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.77 / $15.85	Professional	26	$7.08	$9.77	$15.85
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $19.05 / $41.69	Professional	TC	$15.85	$19.05	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $33.11 / $60.26	Professional		$15.85	$33.11	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $97.72	Professional		$38.02	$54.95	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $16.22 / $29.51	Professional	26	$11.48	$16.22	$29.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $38.90 / $69.18	Professional	TC	$26.92	$38.90	$69.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $38.90	Professional		$31.62	$31.62	$38.90
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $10.47 / $13.18	Professional	26	$10.47	$10.47	$13.18
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $21.38 / $25.70	Professional	TC	$21.38	$21.38	$25.70