Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $29.81 / $49.09	Professional		$22.33	$29.81	$49.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.23 / $23.60 / $32.22	Professional	26	$17.23	$23.60	$32.22
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.86 / $14.77 / $20.97	Professional	52	$11.86	$14.77	$20.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.49 / $4.15 / $29.78	Professional	TC	$2.49	$4.15	$29.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $35.90 / $74.09	Professional		$22.05	$35.90	$74.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.07 / $25.57 / $41.96	Professional	26	$17.07	$25.57	$41.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.69 / $4.83 / $44.04	Professional	TC	$2.69	$4.83	$44.04
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $30.00 / $62.74	Professional		$20.11	$30.00	$62.74
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $6.71 / $20.13 / $28.18	Professional	26	$6.71	$20.13	$28.18
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $3.26 / $4.12 / $26.81	Professional	TC	$3.26	$4.12	$26.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $28.20 / $39.04	Professional		$5.17	$28.20	$39.04
United Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $30.54 / $58.59	Professional		$20.85	$30.54	$58.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.60 / $19.71 / $38.27	Professional	26	$12.60	$19.71	$38.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.98 / $5.41 / $37.72	Professional	TC	$2.98	$5.41	$37.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $21.96 / $21.96	Professional		$21.96	$21.96	$21.96
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $18.89 / $18.89 / $18.89	Professional	26	$18.89	$18.89	$18.89
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $3.06 / $3.06 / $4.12	Professional	TC	$3.06	$3.06	$4.12