Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.02 / $18.52 / $24.27	Facility	26	$18.02	$18.52	$24.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $34.35 / $55.39	Professional		$28.97	$34.35	$55.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.52 / $22.52 / $34.61	Professional	26	$19.52	$22.52	$34.61
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.67 / $16.53 / $19.79	Professional	52	$13.67	$16.53	$19.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.44 / $11.54 / $17.27	Professional	TC	$9.44	$11.54	$17.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.81 / $34.92 / $61.99	Professional		$29.81	$34.92	$61.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.14 / $27.05 / $34.96	Professional	26	$19.14	$27.05	$34.96
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $8.08 / $8.19 / $8.19	Professional	52	$8.08	$8.19	$8.19
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.82 / $15.82 / $15.82	Professional	TC	$15.82	$15.82	$15.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.15 / $25.15 / $66.15	Facility	26	$25.15	$25.15	$66.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $42.76 / $66.52	Professional		$29.76	$42.76	$66.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.82 / $28.64 / $45.72	Professional	26	$19.82	$28.64	$45.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.09 / $14.07 / $22.24	Professional	TC	$10.09	$14.07	$22.24
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $31.12 / $40.24	Professional		$14.28	$31.12	$40.24
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $9.50 / $20.98 / $26.67	Professional	26	$9.50	$20.98	$26.67
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $4.78 / $10.56 / $14.13	Professional	TC	$4.78	$10.56	$14.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $33.26 / $50.25	Professional		$16.60	$33.26	$50.25
United Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $34.34 / $55.95	Professional		$25.40	$34.34	$55.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.26 / $23.46 / $38.09	Professional	26	$17.26	$23.46	$38.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.23 / $11.13 / $18.26	Professional	TC	$8.23	$11.13	$18.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $32.76	Professional		$26.30	$26.30	$32.76
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $16.60 / $21.04	Professional	26	$16.60	$16.60	$21.04
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $9.69 / $9.69 / $11.72	Professional	TC	$9.69	$9.69	$11.72