Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.11 / $18.23 / $18.23	Facility	26	$13.11	$18.23	$18.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $40.65 / $107.25	Professional		$29.87	$40.65	$107.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.82 / $9.11 / $24.30	Professional	26	$7.82	$9.11	$24.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.22 / $31.77 / $62.26	Professional	TC	$22.22	$31.77	$62.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $76.08 / $211.74	Professional		$33.29	$76.08	$211.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $19.54 / $54.44	Professional	26	$8.46	$19.54	$54.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.27 / $56.65 / $164.20	Professional	TC	$24.27	$56.65	$164.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.53 / $26.33 / $34.99	Facility	26	$22.53	$26.33	$34.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $136.58 / $155.19	Professional		$35.15	$136.58	$155.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.93 / $30.66 / $34.84	Professional	26	$9.93	$30.66	$34.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.82 / $105.92 / $120.36	Professional	TC	$25.82	$105.92	$120.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $87.90 / $293.00	Professional		$37.36	$87.90	$293.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $23.44 / $55.28	Professional	26	$10.11	$23.44	$55.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.79 / $67.53 / $283.00	Professional	TC	$27.79	$67.53	$283.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $34.63 / $76.19	Professional		$19.34	$34.63	$76.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.40 / $112.96 / $140.85	Professional		$75.40	$112.96	$140.85
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.52 / $175.80 / $293.00	Professional		$57.52	$175.80	$293.00
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $14.21 / $45.05 / $55.28	Professional	26	$14.21	$45.05	$55.28
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $44.61 / $130.75 / $283.00	Professional	TC	$44.61	$130.75	$283.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $70.76 / $218.20 / $243.39	Professional		$70.76	$218.20	$243.39
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.05 / $25.38 / $49.44	Professional	26	$20.05	$25.38	$49.44
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $50.70 / $61.49 / $147.61	Professional	TC	$50.70	$61.49	$147.61
United Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $74.03 / $154.09	Professional		$37.17	$74.03	$154.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.84 / $21.16 / $39.49	Professional	26	$9.84	$21.16	$39.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.73 / $59.88 / $114.74	Professional	TC	$27.73	$59.88	$114.74