Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.67 / $7.04 / $11.28	Facility	26	$6.67	$7.04	$11.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $31.74 / $58.32	Professional		$25.45	$31.74	$58.32
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $10.98 / $37.15 / $47.07	Professional	25	$10.98	$37.15	$47.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.04 / $8.48 / $21.60	Professional	26	$7.04	$8.48	$21.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.52 / $22.79 / $36.71	Professional	TC	$17.52	$22.79	$36.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $25.59 / $39.27	Professional		$22.39	$25.59	$39.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.10 / $9.36 / $12.78	Professional	26	$7.10	$9.36	$12.78
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $24.04 / $24.04 / $24.04	Professional	TC	$24.04	$24.04	$24.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $9.25 / $24.50	Facility	26	$9.25	$9.25	$24.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.87 / $40.13 / $66.54	Professional		$24.87	$40.13	$66.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.31 / $10.46 / $17.22	Professional	26	$7.31	$10.46	$17.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.30 / $29.79 / $50.24	Professional	TC	$17.30	$29.79	$50.24
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $28.53 / $37.51	Professional		$14.53	$28.53	$37.51
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $3.77 / $7.80 / $11.16	Professional	26	$3.77	$7.80	$11.16
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $10.75 / $20.45 / $26.15	Professional	TC	$10.75	$20.45	$26.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.32 / $32.59 / $49.03	Professional		$13.32	$32.59	$49.03
United Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $34.76 / $57.70	Professional		$25.26	$34.76	$57.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.34 / $8.47 / $14.01	Professional	26	$6.34	$8.47	$14.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.85 / $26.00 / $42.56	Professional	TC	$18.85	$26.00	$42.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.94 / $20.94 / $25.60	Professional		$20.94	$20.94	$25.60
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.13 / $6.13 / $7.80	Professional	26	$6.13	$6.13	$7.80
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $14.81 / $14.81 / $18.97	Professional	TC	$14.81	$14.81	$18.97