Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.23 / $8.61 / $26.01	Facility	26	$5.23	$8.61	$26.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $26.63 / $54.39	Professional		$18.34	$26.63	$54.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.23 / $7.48 / $17.50	Professional	26	$5.23	$7.48	$17.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $97.50 / $103.28 / $103.28	Professional	50	$97.50	$103.28	$103.28
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $9.17 / $12.03 / $17.28	Professional	52	$9.17	$12.03	$17.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.10 / $18.53 / $30.06	Professional	TC	$13.10	$18.53	$30.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $21.20 / $43.44	Professional		$16.89	$21.20	$43.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.74 / $10.08 / $15.83	Professional	26	$5.74	$10.08	$15.83
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $34.86 / $41.10 / $41.87	Professional	50	$34.86	$41.10	$41.87
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.17 / $16.17 / $26.50	Professional	TC	$16.17	$16.17	$26.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $23.49	Facility	26	$8.86	$8.86	$23.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $29.12 / $53.73	Professional		$19.64	$29.12	$53.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.48 / $8.92 / $15.83	Professional	26	$5.48	$8.92	$15.83
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.13 / $35.13 / $35.13	Professional	50	$35.13	$35.13	$35.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.17 / $20.70 / $40.61	Professional	TC	$14.17	$20.70	$40.61
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $8.57 / $8.57 / $8.57	Facility	26	$8.57	$8.57	$8.57
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $19.62 / $28.75 / $37.09	Professional		$19.62	$28.75	$37.09
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $5.58 / $9.00 / $11.25	Professional	26	$5.58	$9.00	$11.25
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $13.78 / $19.68 / $26.34	Professional	TC	$13.78	$19.68	$26.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $33.21 / $55.11	Professional		$12.83	$33.21	$55.11
United Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $23.66 / $48.59	Professional		$20.47	$23.66	$48.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.05 / $6.94 / $14.66	Professional	26	$6.05	$6.94	$14.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.41 / $17.02 / $33.93	Professional	TC	$14.41	$17.02	$33.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $15.99 / $15.99	Professional		$15.99	$15.99	$15.99
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $4.28 / $4.28 / $4.28	Professional	26	$4.28	$4.28	$4.28
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $11.72 / $11.72 / $11.72	Professional	TC	$11.72	$11.72	$11.72