Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $12.88 / $18.20	Facility	26	$12.88	$12.88	$18.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.02 / $85.11	Professional		$25.70	$38.02	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $23.44	Professional	26	$7.08	$10.00	$23.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.18 / $61.66	Professional	TC	$19.05	$28.18	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $57.54 / $181.97	Professional		$33.11	$57.54	$181.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $13.18 / $45.71	Professional	26	$8.51	$13.18	$45.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $44.67 / $144.54	Professional	TC	$24.55	$44.67	$144.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.39 / $26.30 / $41.69	Facility	26	$22.39	$26.30	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $87.10 / $158.49	Professional		$34.67	$87.10	$158.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $18.62 / $35.48	Professional	26	$9.33	$18.62	$35.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $64.57 / $123.03	Professional	TC	$25.12	$64.57	$123.03
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $114.82	Professional		$70.79	$83.18	$114.82
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $19.05 / $26.30	Professional	26	$16.22	$19.05	$26.30
DeanCare Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $66.07 / $91.20	Professional	TC	$54.95	$66.07	$91.20
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 $33.88 / $66.07 / $295.12	Professional		$33.88	$66.07	$295.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $18.20 / $54.95	Professional	26	$9.33	$18.20	$54.95
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $50.12 / $281.84	Professional	TC	$25.12	$50.12	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $102.33 / $141.25	Professional		$52.48	$102.33	$141.25
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 $38.90 / $177.83 / $295.12	Professional		$38.90	$177.83	$295.12
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $44.67 / $54.95	Professional	26	$10.72	$44.67	$54.95
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $131.83 / $281.84	Professional	TC	$29.51	$131.83	$281.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $173.78 / $245.47	Professional		$70.79	$173.78	$245.47
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $24.55 / $41.69	Professional	26	$19.95	$24.55	$41.69
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $60.26 / $131.83	Professional	TC	$51.29	$60.26	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $51.29 / $120.23	Professional		$33.88	$51.29	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $13.80 / $30.90	Professional	26	$9.12	$13.80	$30.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $38.02 / $89.13	Professional	TC	$25.12	$38.02	$89.13