Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.96 / $9.96 / $10.99	Facility	26	$9.96	$9.96	$10.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $40.79 / $52.63	Professional		$34.71	$40.79	$52.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.49 / $12.17 / $15.70	Professional	26	$10.49	$12.17	$15.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.72 / $28.34 / $36.59	Professional	TC	$23.72	$28.34	$36.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $37.57 / $41.11	Professional		$37.57	$37.57	$41.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.91 / $13.91 / $36.58	Facility	26	$13.91	$13.91	$36.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $51.84 / $82.81	Professional		$36.11	$51.84	$82.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.95 / $15.89 / $25.17	Professional	26	$10.95	$15.89	$25.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.98 / $35.76 / $57.41	Professional	TC	$24.98	$35.76	$57.41
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $37.86 / $49.77	Professional		$18.68	$37.86	$49.77
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $5.34 / $10.83 / $14.07	Professional	26	$5.34	$10.83	$14.07
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $13.33 / $27.03 / $35.60	Professional	TC	$13.33	$27.03	$35.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $34.63 / $55.77	Professional		$20.67	$34.63	$55.77
United Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $42.09 / $68.75	Professional		$31.27	$42.09	$68.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.58 / $12.99 / $20.96	Professional	26	$9.58	$12.99	$20.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.33 / $29.01 / $48.30	Professional	TC	$21.33	$29.01	$48.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $33.96 / $41.29	Professional		$33.96	$33.96	$41.29
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $9.19 / $11.62	Professional	26	$9.19	$9.19	$11.62
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $24.77 / $24.77 / $31.56	Professional	TC	$24.77	$24.77	$31.56