Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.04 / $7.23 / $9.74	Facility	26	$7.04	$7.23	$9.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.47 / $57.56 / $90.63	Professional		$44.47	$57.56	$90.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $9.07 / $18.26	Professional	26	$7.33	$9.07	$18.26
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.24 / $27.54 / $32.44	Professional	52	$22.24	$27.54	$32.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.42 / $47.25 / $71.17	Professional	TC	$37.42	$47.25	$71.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $51.50 / $76.65	Professional		$45.62	$51.50	$76.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.68 / $10.13 / $14.93	Professional	26	$7.68	$10.13	$14.93
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $38.40 / $58.52 / $60.44	Professional	TC	$38.40	$58.52	$60.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.06 / $10.06 / $26.51	Facility	26	$10.06	$10.06	$26.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.11 / $69.40 / $109.77	Professional		$49.11	$69.40	$109.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.96 / $11.29 / $18.48	Professional	26	$7.96	$11.29	$18.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.15 / $58.42 / $92.78	Professional	TC	$41.15	$58.42	$92.78
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $48.03 / $62.43	Professional		$23.69	$48.03	$62.43
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $3.61 / $7.32 / $10.13	Professional	26	$3.61	$7.32	$10.13
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $40.71 / $52.25	Professional	TC	$20.07	$40.71	$52.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.24 / $36.04 / $64.49	Professional		$18.24	$36.04	$64.49
United Facility/Professional Professional Modifier Low / Median / High Price $41.24 / $55.53 / $90.66	Professional		$41.24	$55.53	$90.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.79 / $9.15 / $14.82	Professional	26	$6.79	$9.15	$14.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.76 / $46.48 / $75.75	Professional	TC	$34.76	$46.48	$75.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.89 / $42.89 / $51.79	Professional		$42.89	$42.89	$51.79
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.64 / $6.64 / $8.44	Professional	26	$6.64	$6.64	$8.44
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $36.25 / $36.25 / $46.09	Professional	TC	$36.25	$36.25	$46.09