Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.69 / $9.96 / $11.32	Facility	26	$9.69	$9.96	$11.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $54.83 / $90.30	Professional		$45.00	$54.83	$90.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.49 / $12.45 / $27.98	Professional	26	$10.49	$12.45	$27.98
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $21.83 / $26.12 / $31.81	Professional	52	$21.83	$26.12	$31.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.51 / $41.81 / $61.34	Professional	TC	$34.51	$41.81	$61.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.96 / $54.75 / $92.14	Professional		$47.96	$54.75	$92.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.15 / $13.58 / $20.13	Professional	26	$10.15	$13.58	$20.13
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $37.65 / $55.88 / $57.48	Professional	TC	$37.65	$55.88	$57.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.55 / $13.55 / $35.59	Facility	26	$13.55	$13.55	$35.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.39 / $68.08 / $106.98	Professional		$47.39	$68.08	$106.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.67 / $15.72 / $25.00	Professional	26	$10.67	$15.72	$25.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.72 / $52.72 / $82.98	Professional	TC	$36.72	$52.72	$82.98
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $48.47 / $63.54	Professional		$23.91	$48.47	$63.54
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $5.34 / $10.83 / $14.02	Professional	26	$5.34	$10.83	$14.02
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $18.57 / $37.64 / $49.89	Professional	TC	$18.57	$37.64	$49.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $35.98 / $63.58	Professional		$20.67	$35.98	$63.58
United Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $54.50 / $88.29	Professional		$40.86	$54.50	$88.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.30 / $12.69 / $20.69	Professional	26	$9.30	$12.69	$20.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.38 / $41.87 / $71.56	Professional	TC	$31.38	$41.87	$71.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $52.71	Professional		$43.41	$43.41	$52.71
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.94 / $8.94 / $11.32	Professional	26	$8.94	$8.94	$11.32
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $34.47 / $34.47 / $44.08	Professional	TC	$34.47	$34.47	$44.08