Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $114.82 / $151.36	Facility	26	$107.15	$114.82	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $223.87 / $457.09	Professional		$100.00	$223.87	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $85.11 / $194.98	Professional	26	$52.48	$85.11	$194.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $204.17 / $371.54	Professional	TC	$144.54	$204.17	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $316.23 / $1,174.90	Professional		$204.17	$316.23	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $83.18 / $309.03	Professional	26	$53.70	$83.18	$309.03
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $229.09 / $870.96	Professional	TC	$147.91	$229.09	$870.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.54 / $169.82 / $269.15	Facility	26	$144.54	$169.82	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $467.74 / $831.76	Professional		$208.93	$467.74	$831.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $114.82 / $223.87	Professional	26	$50.12	$114.82	$223.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $338.84 / $616.60	Professional	TC	$151.36	$338.84	$616.60
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $616.60	Professional		$371.54	$446.68	$616.60
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $120.23 / $162.18	Professional	26	$100.00	$120.23	$162.18
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 $512.86 / $512.86 / $512.86	Facility	26	$512.86	$512.86	$512.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $489.78 / $1,621.81	Professional		$257.04	$489.78	$1,621.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $123.03 / $346.74	Professional	26	$58.88	$123.03	$346.74
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $380.19 / $1,318.26	Professional	TC	$190.55	$380.19	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $302.00	Professional		$32.36	$33.11	$302.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $512.86 / $1,047.13	Professional		$263.03	$512.86	$1,047.13
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $501.19 / $501.19	Facility	26	$128.82	$501.19	$501.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $1,071.52 / $1,659.59	Professional		$295.12	$1,071.52	$1,659.59
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $288.40 / $346.74	Professional	26	$69.18	$288.40	$346.74
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $794.33 / $1,380.38	Professional	TC	$213.80	$794.33	$1,380.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,479.11	Professional		$724.44	$1,023.29	$1,479.11
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $186.21 / $194.98 / $263.03	Professional	26	$186.21	$194.98	$263.03
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $524.81 / $588.84 / $758.58	Professional	TC	$524.81	$588.84	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $380.19 / $794.33	Professional		$223.87	$380.19	$794.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $91.20 / $208.93	Professional	26	$58.88	$91.20	$208.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $288.40 / $602.56	Professional	TC	$165.96	$288.40	$602.56