Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.65 / $11.87 / $13.82	Facility	26	$11.65	$11.87	$13.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.49 / $47.42 / $66.05	Professional		$40.49	$47.42	$66.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.55 / $15.05 / $19.80	Professional	26	$12.55	$15.05	$19.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.61 / $33.24 / $48.60	Professional	TC	$28.61	$33.24	$48.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.25 / $16.25 / $16.25	Facility	26	$16.25	$16.25	$16.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.22 / $68.93 / $133.87	Professional		$41.22	$68.93	$133.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.76 / $20.70 / $39.71	Professional	26	$12.76	$20.70	$39.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.26 / $47.38 / $94.71	Professional	TC	$28.26	$47.38	$94.71
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $30.41 / $63.63	Professional		$27.05	$30.41	$63.63
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $9.93 / $17.46	Professional	26	$9.27	$9.93	$17.46
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $17.79 / $19.63 / $45.59	Professional	TC	$17.79	$19.63	$45.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.95 / $35.17 / $60.63	Professional		$21.95	$35.17	$60.63
United Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $56.13 / $100.76	Professional		$38.11	$56.13	$100.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.40 / $16.64 / $29.45	Professional	26	$11.40	$16.64	$29.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.70 / $39.38 / $70.64	Professional	TC	$26.70	$39.38	$70.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.66 / $31.66 / $31.66	Professional		$31.66	$31.66	$31.66
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $10.47 / $10.47	Professional	26	$10.47	$10.47	$10.47
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $21.19 / $21.19 / $27.04	Professional	TC	$21.19	$21.19	$27.04