Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.89 / $18.36 / $45.70	Facility	26	$8.89	$18.36	$45.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $39.50 / $85.58	Professional		$28.81	$39.50	$85.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.89 / $12.89 / $27.52	Professional	26	$8.89	$12.89	$27.52
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.41 / $18.95 / $27.14	Professional	52	$14.41	$18.95	$27.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.92 / $25.56 / $43.24	Professional	TC	$19.92	$25.56	$43.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $42.37 / $93.00	Professional		$29.66	$42.37	$93.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.90 / $19.59 / $27.93	Professional	26	$9.90	$19.59	$27.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.96 / $14.96 / $41.96	Facility	26	$14.96	$14.96	$41.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $42.84 / $81.45	Professional		$29.62	$42.84	$81.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.31 / $15.51 / $27.65	Professional	26	$9.31	$15.51	$27.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.97 / $27.84 / $58.42	Professional	TC	$18.97	$27.84	$58.42
Florida Blue Facility/Professional Facility Modifier 26 Low / Median / High Price $15.35 / $15.35 / $15.35	Facility	26	$15.35	$15.35	$15.35
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $41.31 / $54.52	Professional		$29.66	$41.31	$54.52
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $9.52 / $15.16 / $21.40	Professional	26	$9.52	$15.16	$21.40
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $18.07 / $25.86 / $33.36	Professional	TC	$18.07	$25.86	$33.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $33.44 / $56.57	Professional		$16.68	$33.44	$56.57
United Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $36.68 / $75.31	Professional		$28.93	$36.68	$75.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.61 / $12.67 / $26.25	Professional	26	$10.61	$12.67	$26.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.95 / $24.92 / $53.40	Professional	TC	$17.95	$24.92	$53.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $21.25 / $21.25	Professional		$21.25	$21.25	$21.25
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.09 / $6.09 / $6.09	Professional	26	$6.09	$6.09	$6.09
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $15.16 / $15.16 / $15.16	Professional	TC	$15.16	$15.16	$15.16