Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.85 / $5.96 / $7.58	Facility	26	$5.85	$5.96	$7.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $29.09 / $74.00	Professional		$21.56	$29.09	$74.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.96 / $8.07 / $36.00	Professional	26	$5.96	$8.07	$36.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.59 / $19.73 / $34.14	Professional	TC	$15.59	$19.73	$34.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $32.86 / $51.66	Professional		$18.37	$32.86	$51.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.11 / $9.25 / $12.55	Professional	26	$6.11	$9.25	$12.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.11 / $8.11 / $21.52	Facility	26	$8.11	$8.11	$21.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $37.07 / $68.08	Professional		$20.71	$37.07	$68.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.70 / $10.34 / $18.13	Professional	26	$6.70	$10.34	$18.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.45 / $27.70 / $54.08	Professional	TC	$16.45	$27.70	$54.08
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $7.85 / $7.85 / $7.85	Facility	26	$7.85	$7.85	$7.85
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $31.16 / $55.69	Professional		$16.07	$31.16	$55.69
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $4.79 / $8.24 / $10.96	Professional	26	$4.79	$8.24	$10.96
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $11.28 / $22.01 / $43.69	Professional	TC	$11.28	$22.01	$43.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $34.88 / $58.93	Professional		$14.88	$34.88	$58.93
United Facility/Professional Professional Modifier Low / Median / High Price $21.47 / $33.94 / $62.08	Professional		$21.47	$33.94	$62.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.02 / $8.80 / $14.74	Professional	26	$6.02	$8.80	$14.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.52 / $24.16 / $45.63	Professional	TC	$15.52	$24.16	$45.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $18.89 / $18.89	Professional		$18.89	$18.89	$18.89
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.36 / $5.36 / $5.36	Professional	26	$5.36	$5.36	$5.36
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $13.53 / $13.53 / $17.11	Professional	TC	$13.53	$13.53	$17.11