Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.94 / $26.25 / $57.37	Facility	26	$22.94	$26.25	$57.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $52.33 / $107.50	Professional		$36.26	$52.33	$107.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.95 / $28.99 / $56.16	Professional	26	$22.95	$28.99	$56.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.05 / $23.54 / $34.39	Professional	TC	$16.05	$23.54	$34.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $33.45 / $94.07	Professional		$26.63	$33.45	$94.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.63 / $27.97 / $46.04	Professional	26	$21.63	$27.97	$46.04
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $29.27 / $29.27 / $29.27	Professional	52	$29.27	$29.27	$29.27
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.07 / $18.07 / $18.07	Professional	TC	$18.07	$18.07	$18.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.40 / $32.40 / $156.65	Facility	26	$32.40	$32.40	$156.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $39.28 / $39.28	Professional		$39.28	$39.28	$39.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.29 / $25.29 / $25.29	Professional	26	$25.29	$25.29	$25.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.99 / $13.99 / $13.99	Professional	TC	$13.99	$13.99	$13.99
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $37.26 / $37.26 / $37.26	Facility	26	$37.26	$37.26	$37.26
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $60.25 / $88.87	Professional		$31.33	$60.25	$88.87
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $20.39 / $35.01 / $48.91	Professional	26	$20.39	$35.01	$48.91
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $27.11 / $39.95	Professional	TC	$10.72	$27.11	$39.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $63.95 / $97.86	Professional		$33.96	$63.95	$97.86
United Facility/Professional Professional Modifier Low / Median / High Price $41.85 / $52.61 / $96.05	Professional		$41.85	$52.61	$96.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.15 / $29.15 / $53.10	Professional	26	$23.15	$29.15	$53.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.95 / $23.63 / $43.21	Professional	TC	$18.95	$23.63	$43.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $36.44 / $36.44	Professional		$36.44	$36.44	$36.44
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $23.46 / $23.46 / $23.46	Professional	26	$23.46	$23.46	$23.46
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $12.97 / $12.97 / $12.97	Professional	TC	$12.97	$12.97	$12.97