Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.09 / $13.90 / $17.48	Facility	26	$12.09	$13.90	$17.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $37.85 / $93.30	Professional		$28.58	$37.85	$93.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $10.25 / $49.78	Professional	26	$7.24	$10.25	$49.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.46 / $27.10 / $48.61	Professional	TC	$19.46	$27.10	$48.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $64.86 / $180.76	Professional		$29.83	$64.86	$180.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.80 / $18.02 / $50.19	Professional	26	$7.80	$18.02	$50.19
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.43 / $48.50 / $136.94	Professional	TC	$21.43	$48.50	$136.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.73 / $24.22 / $32.19	Facility	26	$20.73	$24.22	$32.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $116.59 / $132.49	Professional		$33.29	$116.59	$132.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.52 / $28.26 / $32.11	Professional	26	$9.52	$28.26	$32.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.32 / $88.32 / $100.36	Professional	TC	$23.32	$88.32	$100.36
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 $33.02 / $77.06 / $210.99	Professional		$33.02	$77.06	$210.99
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.72 / $22.50 / $82.56	Professional	26	$9.72	$22.50	$82.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.46 / $55.20 / $159.97	Professional	TC	$23.46	$55.20	$159.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $33.89 / $74.33	Professional		$19.34	$33.89	$74.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $65.65 / $98.35 / $128.84	Professional		$65.65	$98.35	$128.84
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 $51.98 / $153.40 / $210.99	Professional		$51.98	$153.40	$210.99
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $13.10 / $43.25 / $82.56	Professional	26	$13.10	$43.25	$82.56
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $37.20 / $110.20 / $159.97	Professional	TC	$37.20	$110.20	$159.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $60.81 / $186.83 / $207.79	Professional		$60.81	$186.83	$207.79
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.26 / $24.37 / $47.48	Professional	26	$19.26	$24.37	$47.48
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $41.55 / $51.59 / $121.30	Professional	TC	$41.55	$51.59	$121.30
United Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $68.12 / $134.46	Professional		$32.47	$68.12	$134.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $18.60 / $37.90	Professional	26	$9.02	$18.60	$37.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.33 / $50.30 / $96.55	Professional	TC	$23.33	$50.30	$96.55