Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.78 / $23.09 / $25.14	Facility	26	$22.78	$23.09	$25.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $60.35 / $86.70	Professional		$47.80	$60.35	$86.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.86 / $27.91 / $40.78	Professional	26	$23.86	$27.91	$40.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.71 / $32.93 / $44.93	Professional	TC	$24.71	$32.93	$44.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $54.25 / $59.13	Professional		$54.25	$54.25	$59.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $33.79 / $43.19	Professional	26	$25.12	$33.79	$43.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.36 / $31.36 / $83.64	Facility	26	$31.36	$31.36	$83.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.67 / $75.78 / $136.15	Professional		$51.67	$75.78	$136.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.63 / $35.69 / $58.32	Professional	26	$24.63	$35.69	$58.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.43 / $39.60 / $69.68	Professional	TC	$28.43	$39.60	$69.68
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $25.32 / $53.10 / $125.27	Professional		$25.32	$53.10	$125.27
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $12.67 / $26.13 / $34.17	Professional	26	$12.67	$26.13	$34.17
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $12.65 / $26.79 / $98.39	Professional	TC	$12.65	$26.79	$98.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $44.45 / $83.51	Professional		$27.54	$44.45	$83.51
United Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $59.68 / $97.85	Professional		$44.20	$59.68	$97.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.32 / $28.92 / $47.04	Professional	26	$21.32	$28.92	$47.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.02 / $30.99 / $51.23	Professional	TC	$23.02	$30.99	$51.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $48.51 / $59.62	Professional		$48.51	$48.51	$59.62
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $20.68 / $20.68 / $26.13	Professional	26	$20.68	$20.68	$26.13
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $27.83 / $27.83 / $35.69	Professional	TC	$27.83	$27.83	$35.69