Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.66 / $74.84 / $219.84	Facility		$7.66	$74.84	$219.84
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.20 / $6.55 / $25.92	Facility	26	$5.20	$6.55	$25.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $11.58 / $29.56	Professional		$7.66	$11.58	$29.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.20 / $7.31 / $12.51	Professional	26	$5.20	$7.31	$12.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.36 / $11.36 / $11.36	Professional	50	$11.36	$11.36	$11.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.46 / $3.19 / $6.07	Professional	TC	$2.46	$3.19	$6.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.46 / $53.57 / $77.43	Facility		$31.46	$53.57	$77.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.76 / $8.76 / $28.45	Facility	26	$8.76	$8.76	$28.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $13.21 / $26.05	Professional		$8.02	$13.21	$26.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.45 / $9.48 / $17.67	Professional	26	$5.45	$9.48	$17.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.57 / $4.32 / $8.72	Professional	TC	$2.57	$4.32	$8.72
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2.41 / $2.50 / $16.16	Facility		$2.41	$2.50	$16.16
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $10.40 / $10.40 / $10.40	Facility	26	$10.40	$10.40	$10.40
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $7.67 / $13.74 / $20.39	Professional		$7.67	$13.74	$20.39
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $5.20 / $9.74 / $13.52	Professional	26	$5.20	$9.74	$13.52
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $2.46 / $4.76 / $7.20	Professional	TC	$2.46	$4.76	$7.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $6.71 / $14.44	Professional		$3.09	$6.71	$14.44
United Facility/Professional Facility Modifier Low / Median / High Price $28.57 / $29.67 / $29.67	Facility		$28.57	$29.67	$29.67
United Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $11.51 / $21.37	Professional		$9.56	$11.51	$21.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.63 / $7.82 / $14.64	Professional	26	$6.63	$7.82	$14.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.89 / $3.77 / $6.96	Professional	TC	$2.89	$3.77	$6.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $8.55 / $8.55	Professional		$8.55	$8.55	$8.55
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.78 / $5.78 / $5.78	Professional	26	$5.78	$5.78	$5.78
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $2.77 / $2.77 / $2.77	Professional	TC	$2.77	$2.77	$2.77