Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.35 / $34.90 / $42.17	Facility	26	$30.35	$34.90	$42.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $109.25 / $355.00	Professional		$73.73	$109.25	$355.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.09 / $24.99 / $78.52	Professional	26	$18.09	$24.99	$78.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.72 / $84.17 / $147.28	Professional	TC	$58.72	$84.17	$147.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $203.43 / $555.89	Professional		$89.79	$203.43	$555.89
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.57 / $44.49 / $131.37	Professional	26	$19.57	$44.49	$131.37
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.37 / $155.75 / $440.85	Professional	TC	$68.37	$155.75	$440.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.27 / $61.08 / $81.17	Facility	26	$52.27	$61.08	$81.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.55 / $346.12 / $393.31	Professional		$95.55	$346.12	$393.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.85 / $69.81 / $79.34	Professional	26	$22.85	$69.81	$79.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.55 / $276.31 / $313.99	Professional	TC	$71.55	$276.31	$313.99
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $90.84 / $90.84 / $90.84	Facility	26	$90.84	$90.84	$90.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $215.00 / $637.19	Professional		$95.27	$215.00	$637.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.42 / $51.52 / $127.82	Professional	26	$22.42	$51.52	$127.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $72.90 / $162.74 / $509.36	Professional	TC	$72.90	$162.74	$509.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.09 / $88.40 / $185.73	Professional		$50.09	$88.40	$185.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $115.68 / $232.70 / $374.87	Professional		$115.68	$232.70	$374.87
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $47.43 / $90.84 / $90.84	Facility	26	$47.43	$90.84	$90.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $145.77 / $449.05 / $637.19	Professional		$145.77	$449.05	$637.19
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $30.45 / $102.55 / $127.82	Professional	26	$30.45	$102.55	$127.82
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $116.38 / $346.50 / $509.36	Professional	TC	$116.38	$346.50	$509.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $156.02 / $616.71 / $616.71	Professional		$156.02	$616.71	$616.71
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.15 / $44.88 / $93.91	Professional	26	$38.15	$44.88	$93.91
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $109.22 / $128.49 / $351.79	Professional	TC	$109.22	$128.49	$351.79
United Facility/Professional Professional Modifier Low / Median / High Price $87.90 / $126.34 / $617.20	Professional		$87.90	$126.34	$617.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.07 / $46.97 / $89.89	Professional	26	$22.07	$46.97	$89.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.90 / $156.94 / $287.18	Professional	TC	$72.90	$156.94	$287.18