Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.39 / $60.61 / $93.94	Professional		$45.39	$60.61	$93.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.76 / $25.19 / $34.47	Professional	26	$18.76	$25.19	$34.47
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $21.60 / $29.14 / $41.31	Professional	52	$21.60	$29.14	$41.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.43 / $33.74 / $58.43	Professional	TC	$24.43	$33.74	$58.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.02 / $100.02 / $100.02	Professional		$100.02	$100.02	$100.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.53 / $41.53 / $41.53	Professional	26	$41.53	$41.53	$41.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.48 / $67.56 / $127.38	Professional		$44.48	$67.56	$127.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.93 / $28.39 / $48.39	Professional	26	$18.93	$28.39	$48.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.90 / $39.00 / $73.13	Professional	TC	$25.90	$39.00	$73.13
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $52.95 / $70.86	Professional		$26.48	$52.95	$70.86
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $9.24 / $21.46 / $30.33	Professional	26	$9.24	$21.46	$30.33
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $17.25 / $33.64 / $40.52	Professional	TC	$17.25	$33.64	$40.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $46.19 / $85.23	Professional		$32.28	$46.19	$85.23
United Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $58.33 / $90.78	Professional		$43.45	$58.33	$90.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.07 / $23.22 / $35.27	Professional	26	$18.07	$23.22	$35.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.01 / $34.29 / $52.30	Professional	TC	$24.01	$34.29	$52.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.26 / $48.26 / $48.26	Professional		$48.26	$48.26	$48.26
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $20.17 / $20.17 / $20.17	Professional	26	$20.17	$20.17	$20.17
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $28.09 / $28.09 / $35.76	Professional	TC	$28.09	$28.09	$35.76