Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.63 / $11.00 / $22.50	Professional	26	$9.63	$11.00	$22.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.08 / $28.57 / $53.91	Professional	TC	$23.08	$28.57	$53.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.44 / $24.11 / $67.18	Professional	26	$10.44	$24.11	$67.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.85 / $53.33 / $147.38	Professional	TC	$24.85	$53.33	$147.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.79 / $37.86 / $43.04	Professional	26	$11.79	$37.86	$43.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.81 / $94.22 / $107.06	Professional	TC	$27.81	$94.22	$107.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.11 / $28.91 / $77.59	Professional	26	$12.11	$28.91	$77.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.63 / $67.08 / $300.00	Professional	TC	$27.63	$67.08	$300.00
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $17.52 / $55.60 / $77.59	Professional	26	$17.52	$55.60	$77.59
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $41.00 / $129.00 / $300.00	Professional	TC	$41.00	$129.00	$300.00
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.74 / $30.35 / $59.06	Professional	26	$24.74	$30.35	$59.06
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $51.46 / $60.69 / $147.61	Professional	TC	$51.46	$60.69	$147.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.82 / $26.11 / $50.43	Professional	26	$11.82	$26.11	$50.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.43 / $58.91 / $113.07	Professional	TC	$27.43	$58.91	$113.07