Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $177.83 / $194.98 / $338.84	Facility	26	$177.83	$194.98	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $446.68 / $758.58	Professional		$281.84	$446.68	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $141.25 / $281.84	Professional	26	$85.11	$141.25	$281.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $302.00 / $501.19	Professional	TC	$190.55	$302.00	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $478.63 / $1,621.81	Professional		$275.42	$478.63	$1,621.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $128.82 / $478.63	Professional	26	$83.18	$128.82	$478.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $346.74 / $1,122.02	Professional	TC	$190.55	$346.74	$1,122.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $223.87 / $257.04 / $416.87	Facility	26	$223.87	$257.04	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $741.31 / $1,122.02	Professional		$295.12	$741.31	$1,122.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $186.21 / $346.74	Professional	26	$77.62	$186.21	$346.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $562.34 / $794.33	Professional	TC	$218.78	$562.34	$794.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $602.56 / $831.76	Professional		$501.19	$602.56	$831.76
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $186.21 / $251.19	Professional	26	$154.88	$186.21	$251.19
DeanCare Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $416.87 / $588.84	Professional	TC	$346.74	$416.87	$588.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	26	$794.33	$794.33	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $776.25 / $3,467.37	Professional		$363.08	$776.25	$3,467.37
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $190.55 / $660.69	Professional	26	$91.20	$190.55	$660.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $575.44 / $3,019.95	Professional	TC	$257.04	$575.44	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $602.56	Professional		$32.36	$33.11	$602.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $691.83 / $2,454.71	Professional		$354.81	$691.83	$2,454.71
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $776.25 / $776.25	Facility	26	$194.98	$776.25	$776.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,995.26 / $3,548.13	Professional		$416.87	$1,995.26	$3,548.13
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $436.52 / $660.69	Professional	26	$104.71	$436.52	$660.69
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $1,698.24 / $3,090.30	Professional	TC	$288.40	$1,698.24	$3,090.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,862.09 / $2,511.89	Professional		$1,659.59	$1,862.09	$2,511.89
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $363.08 / $512.86 / $660.69	Professional	26	$363.08	$512.86	$660.69
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,000.00 / $1,412.54 / $1,698.24	Professional	TC	$1,000.00	$1,412.54	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $588.84 / $1,318.26	Professional		$316.23	$588.84	$1,318.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $147.91 / $323.59	Professional	26	$91.20	$147.91	$323.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $446.68 / $1,023.29	Professional	TC	$229.09	$446.68	$1,023.29