Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $10.00 / $33.11	Facility	26	$6.03	$10.00	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $32.36 / $85.11	Professional		$19.05	$32.36	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $9.77 / $25.70	Professional	26	$6.17	$9.77	$25.70
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.20 / $36.31 / $158.49	Professional	52	$30.20	$36.31	$158.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $20.42 / $47.86	Professional	TC	$12.02	$20.42	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $38.90	Professional		$19.95	$25.12	$38.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.75 / $15.49	Professional	26	$7.94	$11.75	$15.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.19 / $10.23 / $17.78	Facility	26	$2.19	$10.23	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.88 / $69.18	Professional		$19.95	$33.88	$69.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $10.96 / $21.38	Professional	26	$6.46	$10.96	$21.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $25.70 / $51.29	Professional	TC	$13.80	$25.70	$51.29
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $11.22 / $11.22 / $11.22	Facility	26	$11.22	$11.22	$11.22
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.11 / $46.77	Professional		$20.89	$33.11	$46.77
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $10.00 / $14.13	Professional	26	$6.61	$10.00	$14.13
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $22.91 / $32.36	Professional	TC	$14.13	$22.91	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $24.55 / $37.15	Professional		$7.59	$24.55	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.90 / $54.95	Professional		$24.55	$30.90	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $9.33 / $16.60	Professional	26	$7.59	$9.33	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $21.88 / $38.02	Professional	TC	$16.98	$21.88	$38.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $29.51	Professional		$22.39	$22.39	$29.51
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $6.92 / $9.33	Professional	26	$6.92	$6.92	$9.33
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $15.49 / $20.42	Professional	TC	$15.49	$15.49	$20.42