Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $173.78 / $173.78	Facility	26	$85.11	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $707.95	Professional		$281.84	$331.13	$707.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $87.10 / $186.21	Professional	26	$77.62	$87.10	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $229.09 / $407.38	Professional	TC	$199.53	$229.09	$407.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $588.84 / $1,445.44	Professional		$275.42	$588.84	$1,445.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $162.18 / $407.38	Professional	26	$85.11	$162.18	$407.38
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $426.58 / $1,023.29	Professional	TC	$190.55	$426.58	$1,023.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $213.80 / $251.19 / $407.38	Facility	26	$213.80	$251.19	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $977.24 / $1,096.48	Professional		$416.87	$977.24	$1,096.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $269.15 / $302.00	Professional	26	$125.89	$269.15	$302.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $707.95 / $812.83	Professional	TC	$295.12	$707.95	$812.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $870.96	Professional		$501.19	$691.83	$870.96
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $218.78 / $281.84	Professional	26	$147.91	$218.78	$281.84
DeanCare Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $489.78 / $588.84	Professional	TC	$354.81	$489.78	$588.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $537.03 / $2,238.72	Professional		$295.12	$537.03	$2,238.72
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $158.49 / $691.83	Professional	26	$85.11	$158.49	$691.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $389.05 / $1,584.89	Professional	TC	$208.93	$389.05	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $389.05	Professional		$32.36	$33.11	$389.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $691.83 / $1,071.52	Professional		$354.81	$691.83	$1,071.52
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $213.80 / $512.86 / $512.86	Facility	26	$213.80	$512.86	$512.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,412.54 / $1,995.26	Professional		$380.19	$1,412.54	$1,995.26
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $416.87 / $691.83	Professional	26	$114.82	$416.87	$691.83
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $1,000.00 / $1,513.56	Professional	TC	$269.15	$1,000.00	$1,513.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,819.70 / $2,290.87	Professional		$933.25	$1,819.70	$2,290.87
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $213.80 / $398.11 / $489.78	Professional	26	$213.80	$398.11	$489.78
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $794.33 / $933.25 / $1,047.13	Professional	TC	$794.33	$933.25	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $467.74 / $1,230.27	Professional		$281.84	$467.74	$1,230.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $134.90 / $363.08	Professional	26	$85.11	$134.90	$363.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $323.59 / $870.96	Professional	TC	$190.55	$323.59	$870.96