Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.61 / $9.27 / $20.02	Facility	26	$8.61	$9.27	$20.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.67 / $10.19 / $26.08	Professional	26	$8.67	$10.19	$26.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.57 / $15.42 / $36.07	Professional	TC	$12.57	$15.42	$36.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.90 / $23.55 / $34.95	Professional	26	$21.90	$23.55	$34.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.15 / $28.15 / $28.15	Facility	26	$28.15	$28.15	$28.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.19 / $34.38 / $69.19	Professional	26	$22.19	$34.38	$69.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.61 / $49.33 / $100.16	Professional	TC	$31.61	$49.33	$100.16
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $16.48 / $17.66 / $28.12	Professional	26	$16.48	$17.66	$28.12
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $22.89 / $25.22 / $39.04	Professional	TC	$22.89	$25.22	$39.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.37 / $31.83 / $43.11	Professional	26	$18.37	$31.83	$43.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.02 / $41.75 / $72.70	Professional	TC	$26.02	$41.75	$72.70
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $9.56 / $9.56 / $9.56	Professional	26	$9.56	$9.56	$9.56
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $14.02 / $14.02 / $14.02	Professional	TC	$14.02	$14.02	$14.02