Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.69 / $36.21 / $39.40	Facility	26	$35.69	$36.21	$39.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.59 / $85.65 / $105.84	Professional		$67.59	$85.65	$105.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.85 / $44.04 / $56.12	Professional	26	$36.85	$44.04	$56.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.39 / $41.09 / $51.10	Professional	TC	$31.39	$41.09	$51.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.87 / $78.73 / $102.17	Professional		$70.87	$78.73	$102.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.00 / $50.00 / $50.00	Facility	26	$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.67 / $107.25 / $187.90	Professional		$68.67	$107.25	$187.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.61 / $59.48 / $104.54	Professional	26	$37.61	$59.48	$104.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.06 / $49.90 / $91.98	Professional	TC	$31.06	$49.90	$91.98
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $62.14 / $88.07	Professional		$33.42	$62.14	$88.07
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $20.45 / $33.43 / $51.64	Professional	26	$20.45	$33.43	$51.64
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $13.43 / $27.58 / $43.33	Professional	TC	$13.43	$27.58	$43.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.05 / $50.46 / $130.42	Professional		$28.05	$50.46	$130.42
United Facility/Professional Professional Modifier Low / Median / High Price $61.36 / $85.37 / $157.85	Professional		$61.36	$85.37	$157.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.54 / $48.82 / $84.70	Professional	26	$33.54	$48.82	$84.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.54 / $38.76 / $74.62	Professional	TC	$25.54	$38.76	$74.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.13 / $66.13 / $71.50	Professional		$66.13	$66.13	$71.50
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $33.19 / $33.19 / $35.89	Professional	26	$33.19	$33.19	$35.89
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $32.94 / $32.94 / $41.89	Professional	TC	$32.94	$32.94	$41.89