Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.45 / $3.98 / $3.98	Facility	26	$2.45	$3.98	$3.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $21.88 / $42.66	Professional		$12.88	$21.88	$42.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.00 / $3.98 / $8.91	Professional	26	$2.00	$3.98	$8.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $15.85 / $29.51	Professional	TC	$10.96	$15.85	$29.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.45 / $15.85	Professional		$11.75	$14.45	$15.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.63 / $2.63 / $2.69	Professional	26	$2.63	$2.63	$2.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $0.65 / $3.02 / $5.25	Facility	26	$0.65	$3.02	$5.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $26.30 / $45.71	Professional		$14.45	$26.30	$45.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.75 / $5.89 / $10.00	Professional	26	$2.75	$5.89	$10.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $20.89 / $36.31	Professional	TC	$11.75	$20.89	$36.31
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $17.78 / $23.99	Professional		$11.22	$17.78	$23.99
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $1.95 / $3.31 / $7.24	Professional	26	$1.95	$3.31	$7.24
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $8.32 / $12.30 / $18.20	Professional	TC	$8.32	$12.30	$18.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $15.14 / $33.11	Professional		$2.51	$15.14	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $38.02	Professional		$15.85	$22.91	$38.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.55 / $5.13 / $8.51	Professional	26	$3.55	$5.13	$8.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $17.78 / $29.51	Professional	TC	$12.59	$17.78	$29.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $16.98	Professional		$11.48	$11.48	$16.98
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $2.04 / $2.04 / $2.82	Professional	26	$2.04	$2.04	$2.82
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $9.33 / $9.33 / $14.13	Professional	TC	$9.33	$9.33	$14.13