Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $213.80 / $239.88 / $275.42	Facility	26	$213.80	$239.88	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $501.19 / $1,445.44	Professional		$194.98	$501.19	$1,445.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $186.21 / $524.81	Professional	26	$102.33	$186.21	$524.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $416.87 / $812.83	Professional	TC	$302.00	$416.87	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $660.69 / $2,398.83	Professional		$416.87	$660.69	$2,398.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $154.88 / $575.44	Professional	26	$100.00	$154.88	$575.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $524.81 / $1,862.09	Professional	TC	$316.23	$524.81	$1,862.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $269.15 / $309.03 / $501.19	Facility	26	$269.15	$309.03	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,122.02 / $1,737.80	Professional		$446.68	$1,122.02	$1,737.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $218.78 / $416.87	Professional	26	$93.33	$218.78	$416.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $933.25 / $1,318.26	Professional	TC	$363.08	$933.25	$1,318.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $1,258.93	Professional		$758.58	$912.01	$1,258.93
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $186.21 / $223.87 / $302.00	Professional	26	$186.21	$223.87	$302.00
DeanCare Facility/Professional Professional Modifier TC Low / Median / High Price $575.44 / $691.83 / $1,000.00	Professional	TC	$575.44	$691.83	$1,000.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	26	$954.99	$954.99	$954.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,174.90 / $6,025.60	Professional		$549.54	$1,174.90	$6,025.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $239.88 / $676.08	Professional	26	$109.65	$239.88	$676.08
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $426.58 / $933.25 / $5,495.41	Professional	TC	$426.58	$933.25	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $758.58	Professional		$32.36	$33.11	$758.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,047.13 / $2,041.74	Professional		$537.03	$1,047.13	$2,041.74
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $239.88 / $933.25 / $933.25	Facility	26	$239.88	$933.25	$933.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $3,388.44 / $6,165.95	Professional		$602.56	$3,388.44	$6,165.95
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $524.81 / $676.08	Professional	26	$125.89	$524.81	$676.08
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $467.74 / $3,090.30 / $5,623.41	Professional	TC	$467.74	$3,090.30	$5,623.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $3,630.78	Professional		$2,137.96	$2,630.27	$3,630.78
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $457.09 / $616.60 / $794.33	Professional	26	$457.09	$616.60	$794.33
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,659.59 / $2,290.87 / $2,818.38	Professional	TC	$1,659.59	$2,290.87	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $891.25 / $1,995.26	Professional		$489.78	$891.25	$1,995.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $177.83 / $389.05	Professional	26	$109.65	$177.83	$389.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $380.19 / $707.95 / $1,621.81	Professional	TC	$380.19	$707.95	$1,621.81