Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $7.94 / $13.49	Facility	26	$7.08	$7.94	$13.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $154.88	Professional		$50.12	$66.07	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.00 / $24.55	Professional	26	$7.94	$10.00	$24.55
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.13 / $8.32 / $39.81	Professional	52	$8.13	$8.32	$39.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $52.48 / $95.50	Professional	TC	$38.90	$52.48	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $54.95 / $95.50	Professional		$44.67	$54.95	$95.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.23 / $16.22	Professional	26	$7.94	$10.23	$16.22
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $58.88 / $79.43	Professional	TC	$53.70	$58.88	$79.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.14 / $10.00 / $16.98	Facility	26	$2.14	$10.00	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $114.82	Professional		$50.12	$70.79	$114.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $11.22 / $19.05	Professional	26	$8.13	$11.22	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $58.88 / $100.00	Professional	TC	$41.69	$58.88	$100.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $50.12 / $70.79	Professional		$26.92	$50.12	$70.79
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $3.98 / $7.59 / $11.22	Professional	26	$3.98	$7.59	$11.22
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $41.69 / $60.26	Professional	TC	$22.39	$41.69	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $35.48 / $74.13	Professional		$8.51	$35.48	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $56.23 / $93.33	Professional		$41.69	$56.23	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $9.12 / $15.14	Professional	26	$6.76	$9.12	$15.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $46.77 / $77.62	Professional	TC	$34.67	$46.77	$77.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $64.57	Professional		$42.66	$42.66	$64.57
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $6.61 / $9.55	Professional	26	$6.61	$6.61	$9.55
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $36.31 / $54.95	Professional	TC	$36.31	$36.31	$54.95