Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.69 / $10.49 / $13.05	Facility	26	$9.69	$10.49	$13.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.31 / $43.32 / $61.77	Professional		$35.31	$43.32	$61.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $12.08 / $17.57	Professional	26	$10.47	$12.08	$17.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.81 / $31.12 / $43.78	Professional	TC	$24.81	$31.12	$43.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.95 / $40.79 / $56.77	Professional		$36.95	$40.79	$56.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.15 / $13.02 / $20.74	Professional	26	$10.15	$13.02	$20.74
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $27.01 / $41.28 / $41.28	Professional	TC	$27.01	$41.28	$41.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.55 / $13.55 / $35.59	Facility	26	$13.55	$13.55	$35.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.06 / $54.07 / $85.53	Professional		$38.06	$54.07	$85.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.67 / $15.72 / $24.89	Professional	26	$10.67	$15.72	$24.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.39 / $38.65 / $61.72	Professional	TC	$27.39	$38.65	$61.72
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $37.86 / $50.50	Professional		$18.68	$37.86	$50.50
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $5.34 / $10.83 / $14.02	Professional	26	$5.34	$10.83	$14.02
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $13.33 / $27.03 / $36.60	Professional	TC	$13.33	$27.03	$36.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $34.70 / $56.91	Professional		$20.13	$34.70	$56.91
United Facility/Professional Professional Modifier Low / Median / High Price $33.08 / $43.74 / $70.73	Professional		$33.08	$43.74	$70.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $12.68 / $20.39	Professional	26	$9.41	$12.68	$20.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.15 / $30.95 / $50.70	Professional	TC	$23.15	$30.95	$50.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $34.47 / $41.89	Professional		$34.47	$34.47	$41.89
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.94 / $8.94 / $11.32	Professional	26	$8.94	$8.94	$11.32
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $25.53 / $25.53 / $32.53	Professional	TC	$25.53	$25.53	$32.53