Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.38 / $4.48 / $4.95	Facility	26	$2.38	$4.48	$4.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $20.67 / $29.10	Professional		$13.88	$20.67	$29.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.61 / $4.59 / $6.06	Professional	26	$2.61	$4.59	$6.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.18 / $15.87 / $23.10	Professional	TC	$11.18	$15.87	$23.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $11.10 / $23.04	Professional		$11.10	$11.10	$23.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.20 / $2.69 / $3.08	Professional	26	$2.20	$2.69	$3.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.06 / $3.06 / $16.47	Facility	26	$3.06	$3.06	$16.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $26.20 / $45.53	Professional		$13.74	$26.20	$45.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.68 / $5.87 / $9.80	Professional	26	$2.68	$5.87	$9.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.22 / $20.46 / $35.52	Professional	TC	$11.22	$20.46	$35.52
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $16.86 / $23.34	Professional		$9.88	$16.86	$23.34
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $2.11 / $3.56 / $6.85	Professional	26	$2.11	$3.56	$6.85
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $7.44 / $12.05 / $17.19	Professional	TC	$7.44	$12.05	$17.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $11.49 / $20.68	Professional		$2.34	$11.49	$20.68
United Facility/Professional Professional Modifier Low / Median / High Price $16.66 / $22.75 / $38.40	Professional		$16.66	$22.75	$38.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.61 / $5.16 / $8.52	Professional	26	$3.61	$5.16	$8.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.77 / $17.80 / $29.82	Professional	TC	$12.77	$17.80	$29.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $11.49 / $14.12	Professional		$11.49	$11.49	$14.12
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $2.04 / $2.04 / $2.70	Professional	26	$2.04	$2.04	$2.70
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $9.44 / $9.44 / $12.19	Professional	TC	$9.44	$9.44	$12.19