Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $20.42 / $30.20	Facility	26	$16.98	$20.42	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $48.98 / $104.71	Professional		$33.11	$48.98	$104.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.98 / $41.69	Professional	26	$10.00	$16.98	$41.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $33.11 / $70.79	Professional	TC	$22.91	$33.11	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $213.80	Professional		$39.81	$64.57	$213.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $17.78 / $61.66	Professional	26	$11.48	$17.78	$61.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $46.77 / $151.36	Professional	TC	$26.92	$46.77	$151.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $35.48 / $57.54	Facility	26	$30.90	$35.48	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $100.00 / $177.83	Professional		$40.74	$100.00	$177.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $25.70 / $47.86	Professional	26	$12.59	$25.70	$47.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $67.61 / $128.82	Professional	TC	$28.18	$67.61	$128.82
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $128.82	Professional		$81.28	$95.50	$128.82
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $26.92 / $35.48	Professional	26	$22.39	$26.92	$35.48
DeanCare Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $69.18 / $95.50	Professional	TC	$57.54	$69.18	$95.50
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 $40.74 / $77.62 / $281.84	Professional		$40.74	$77.62	$281.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $25.12 / $91.20	Professional	26	$12.88	$25.12	$91.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $54.95 / $208.93	Professional	TC	$28.18	$54.95	$208.93
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 $56.23 / $109.65 / $194.98	Professional		$56.23	$109.65	$194.98
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 $44.67 / $204.17 / $281.84	Professional		$44.67	$204.17	$281.84
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $63.10 / $91.20	Professional	26	$14.79	$63.10	$91.20
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $141.25 / $208.93	Professional	TC	$31.62	$141.25	$208.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $199.53 / $275.42	Professional		$81.28	$199.53	$275.42
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $34.67 / $56.23	Professional	26	$28.18	$34.67	$56.23
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $66.07 / $141.25	Professional	TC	$53.70	$66.07	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $60.26 / $141.25	Professional		$39.81	$60.26	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $19.05 / $41.69	Professional	26	$12.59	$19.05	$41.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $41.69 / $97.72	Professional	TC	$27.54	$41.69	$97.72