Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.61 / $11.61 / $12.81	Facility	26	$11.61	$11.61	$12.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.41 / $38.79 / $56.08	Professional		$31.41	$38.79	$56.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.37 / $14.24 / $19.92	Professional	26	$12.37	$14.24	$19.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.69 / $24.80 / $32.17	Professional	TC	$19.69	$24.80	$32.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.25 / $34.84 / $47.86	Professional		$28.25	$34.84	$47.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.11 / $15.57 / $18.28	Professional	26	$12.11	$15.57	$18.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.25 / $16.25 / $42.62	Facility	26	$16.25	$16.25	$42.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.74 / $47.21 / $76.42	Professional		$32.74	$47.21	$76.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.73 / $18.18 / $28.84	Professional	26	$12.73	$18.18	$28.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.80 / $29.25 / $47.58	Professional	TC	$20.80	$29.25	$47.58
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $32.43 / $44.02	Professional		$16.22	$32.43	$44.02
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $6.41 / $13.12 / $17.61	Professional	26	$6.41	$13.12	$17.61
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $9.81 / $18.35 / $27.43	Professional	TC	$9.81	$18.35	$27.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $33.44 / $51.55	Professional		$19.28	$33.44	$51.55
United Facility/Professional Professional Modifier Low / Median / High Price $28.43 / $37.88 / $63.73	Professional		$28.43	$37.88	$63.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.97 / $14.71 / $24.42	Professional	26	$10.97	$14.71	$24.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.46 / $23.31 / $38.86	Professional	TC	$17.46	$23.31	$38.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $29.87 / $36.52	Professional		$29.87	$29.87	$36.52
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $10.72 / $13.54	Professional	26	$10.72	$10.72	$13.54
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $19.14 / $24.46	Professional	TC	$19.14	$19.14	$24.46