Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.56 / $13.29 / $16.07	Facility	26	$11.56	$13.29	$16.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.13 / $103.55	Professional		$21.38	$28.13	$103.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.90 / $11.56 / $59.52	Professional	26	$6.90	$11.56	$59.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.48 / $18.09 / $41.90	Professional	TC	$14.48	$18.09	$41.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $50.89 / $135.54	Professional		$22.65	$50.89	$135.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.46 / $17.13 / $48.00	Professional	26	$7.46	$17.13	$48.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $33.11 / $89.69	Professional	TC	$15.14	$33.11	$89.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $19.94 / $32.84	Professional		$8.53	$19.94	$32.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.82 / $23.17 / $30.79	Facility	26	$19.82	$23.17	$30.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $84.90 / $96.48	Professional		$26.54	$84.90	$96.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.50 / $27.05 / $30.74	Professional	26	$8.50	$27.05	$30.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.19 / $57.85 / $65.73	Professional	TC	$18.19	$57.85	$65.73
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 $25.82 / $58.78 / $542.00	Professional		$25.82	$58.78	$542.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $20.67 / $62.74	Professional	26	$8.69	$20.67	$62.74
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.73 / $39.75 / $498.00	Professional	TC	$16.73	$39.75	$498.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $33.43 / $70.00	Professional		$19.34	$33.43	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.45 / $71.09 / $106.75	Professional		$47.45	$71.09	$106.75
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 $39.33 / $115.65 / $542.00	Professional		$39.33	$115.65	$542.00
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $12.37 / $39.75 / $62.74	Professional	26	$12.37	$39.75	$62.74
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $25.81 / $75.95 / $498.00	Professional	TC	$25.81	$75.95	$498.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $47.01 / $139.84 / $151.26	Professional		$47.01	$139.84	$151.26
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.91 / $21.40 / $41.70	Professional	26	$16.91	$21.40	$41.70
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $30.11 / $36.40 / $91.25	Professional	TC	$30.11	$36.40	$91.25
United Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $53.28 / $101.37	Professional		$24.54	$53.28	$101.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $17.09 / $34.58	Professional	26	$8.31	$17.09	$34.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.23 / $35.65 / $66.53	Professional	TC	$16.23	$35.65	$66.53