Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.36 / $28.28 / $28.28	Facility	26	$20.36	$28.28	$28.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $62.71 / $134.79	Professional		$39.97	$62.71	$134.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.10 / $17.02 / $38.90	Professional	26	$12.10	$17.02	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.87 / $36.76 / $69.12	Professional	TC	$27.87	$36.76	$69.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.61 / $94.86 / $263.75	Professional		$43.61	$94.86	$263.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.14 / $30.35 / $84.55	Professional	26	$13.14	$30.35	$84.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.79 / $66.59 / $189.07	Professional	TC	$29.79	$66.59	$189.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.14 / $41.07 / $54.58	Facility	26	$35.14	$41.07	$54.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.04 / $168.77 / $191.79	Professional		$50.04	$168.77	$191.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.60 / $47.59 / $54.08	Professional	26	$15.60	$47.59	$54.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.97 / $121.15 / $137.68	Professional	TC	$33.97	$121.15	$137.68
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 $49.11 / $112.86 / $438.00	Professional		$49.11	$112.86	$438.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.59 / $36.38 / $97.41	Professional	26	$15.59	$36.38	$97.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $33.15 / $79.89 / $423.00	Professional	TC	$33.15	$79.89	$423.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $43.33 / $77.04	Professional		$19.34	$43.33	$77.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $92.95 / $139.25 / $184.95	Professional		$92.95	$139.25	$184.95
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 $73.16 / $224.65 / $438.00	Professional		$73.16	$224.65	$438.00
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $22.05 / $69.95 / $97.41	Professional	26	$22.05	$69.95	$97.41
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $51.03 / $154.69 / $423.00	Professional	TC	$51.03	$154.69	$423.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $90.94 / $276.00 / $300.72	Professional		$90.94	$276.00	$300.72
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $31.09 / $39.34 / $76.53	Professional	26	$31.09	$39.34	$76.53
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $59.85 / $75.73 / $172.01	Professional	TC	$59.85	$75.73	$172.01
United Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $103.50 / $188.33	Professional		$47.20	$103.50	$188.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.44 / $31.99 / $61.32	Professional	26	$14.44	$31.99	$61.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.84 / $70.84 / $135.59	Professional	TC	$32.84	$70.84	$135.59