Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.24 / $11.30 / $15.16	Facility	26	$10.24	$11.30	$15.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $54.14 / $100.70	Professional		$36.34	$54.14	$100.70
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $13.76 / $13.76 / $13.86	Professional	25	$13.76	$13.76	$13.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.69 / $12.37 / $24.30	Professional	26	$9.69	$12.37	$24.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.42 / $37.79 / $61.03	Professional	TC	$26.42	$37.79	$61.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $36.34 / $64.30	Professional		$30.60	$36.34	$64.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.84 / $11.66 / $17.60	Professional	26	$8.84	$11.66	$17.60
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.48 / $35.94 / $37.04	Professional	TC	$23.48	$35.94	$37.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.60 / $11.60 / $37.58	Facility	26	$11.60	$11.60	$37.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $65.48 / $109.79	Professional		$35.54	$65.48	$109.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.59 / $15.57 / $25.98	Professional	26	$9.59	$15.57	$25.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.15 / $50.18 / $84.54	Professional	TC	$26.15	$50.18	$84.54
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $43.81 / $61.68	Professional		$25.05	$43.81	$61.68
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $6.57 / $11.61 / $18.22	Professional	26	$6.57	$11.61	$18.22
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $18.48 / $31.95 / $44.00	Professional	TC	$18.48	$31.95	$44.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $33.89 / $52.30	Professional		$17.76	$33.89	$52.30
United Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $58.39 / $96.46	Professional		$42.19	$58.39	$96.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.61 / $13.35 / $21.70	Professional	26	$9.61	$13.35	$21.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.26 / $44.59 / $74.31	Professional	TC	$32.26	$44.59	$74.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $29.87 / $36.34	Professional		$29.87	$29.87	$36.34
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $7.66 / $9.72	Professional	26	$7.66	$7.66	$9.72
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $22.21 / $22.21 / $28.33	Professional	TC	$22.21	$22.21	$28.33