Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $147.91 / $158.49	Facility	26	$147.91	$147.91	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $371.54 / $912.01	Professional		$223.87	$371.54	$912.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $104.71 / $251.19	Professional	26	$64.57	$104.71	$251.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $218.78 / $416.87	Professional	TC	$144.54	$218.78	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $1,288.25	Professional		$223.87	$346.74	$1,288.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $114.82 / $436.52	Professional	26	$74.13	$114.82	$436.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $263.03 / $870.96	Professional	TC	$147.91	$263.03	$870.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $234.42 / $371.54	Facility	26	$199.53	$234.42	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $524.81 / $933.25	Professional		$239.88	$524.81	$933.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $147.91 / $309.03	Professional	26	$69.18	$147.91	$309.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $354.81 / $616.60	Professional	TC	$177.83	$354.81	$616.60
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $501.19 / $676.08	Professional		$416.87	$501.19	$676.08
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $169.82 / $229.09	Professional	26	$141.25	$169.82	$229.09
DeanCare Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $323.59 / $446.68	Professional	TC	$275.42	$323.59	$446.68
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $707.95 / $707.95 / $707.95	Facility	26	$707.95	$707.95	$707.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $562.34 / $2,041.74	Professional		$281.84	$562.34	$2,041.74
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $162.18 / $489.78	Professional	26	$81.28	$162.18	$489.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $398.11 / $1,995.26	Professional	TC	$186.21	$398.11	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $380.19	Professional		$32.36	$33.11	$380.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $562.34 / $1,174.90	Professional		$288.40	$562.34	$1,174.90
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $177.83 / $691.83 / $691.83	Facility	26	$177.83	$691.83	$691.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,174.90 / $2,041.74	Professional		$323.59	$1,174.90	$2,041.74
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $398.11 / $489.78	Professional	26	$95.50	$398.11	$489.78
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $933.25 / $1,995.26	Professional	TC	$223.87	$933.25	$1,995.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,778.28	Professional		$891.25	$1,148.15	$1,778.28
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $239.88 / $257.04 / $363.08	Professional	26	$239.88	$257.04	$363.08
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $524.81 / $741.31 / $831.76	Professional	TC	$524.81	$741.31	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $436.52 / $891.25	Professional		$251.19	$436.52	$891.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $123.03 / $288.40	Professional	26	$77.62	$123.03	$288.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $316.23 / $630.96	Professional	TC	$165.96	$316.23	$630.96