Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $13.80 / $16.60	Facility	26	$12.02	$13.80	$16.60
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $1.55 / $36.31 / $44.67	Facility	TC	$1.55	$36.31	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $28.18 / $63.10	Professional		$14.45	$28.18	$63.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $11.75 / $33.88	Professional	26	$6.46	$11.75	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $20.89 / $41.69	Professional	TC	$15.85	$20.89	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $44.67 / $151.36	Professional		$28.18	$44.67	$151.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $12.59 / $41.69	Professional	26	$7.76	$12.59	$41.69
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $31.62 / $107.15	Professional	TC	$19.95	$31.62	$107.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $23.99 / $38.90	Facility	26	$20.89	$23.99	$38.90
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $58.88 / $69.18 / $109.65	Facility	TC	$58.88	$69.18	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $63.10 / $117.49	Professional		$28.84	$63.10	$117.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $16.98 / $32.36	Professional	26	$8.51	$16.98	$32.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $46.77 / $85.11	Professional	TC	$20.42	$46.77	$85.11
DeanCare Facility/Professional Facility Modifier TC Low / Median / High Price $229.09 / $281.84 / $371.54	Facility	TC	$229.09	$281.84	$371.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $89.13	Professional		$53.70	$64.57	$89.13
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $17.78 / $23.99	Professional	26	$14.79	$17.78	$23.99
DeanCare Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $47.86 / $64.57	Professional	TC	$39.81	$47.86	$64.57
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $70.79	Facility	26	$70.79	$70.79	$70.79
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $97.72 / $97.72 / $97.72	Facility	TC	$97.72	$97.72	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $50.12 / $186.21	Professional		$28.84	$50.12	$186.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $15.85 / $51.29	Professional	26	$8.71	$15.85	$51.29
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $34.67 / $134.90	Professional	TC	$19.95	$34.67	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $69.18 / $102.33	Professional		$37.15	$69.18	$102.33
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $70.79 / $70.79	Facility	26	$18.62	$70.79	$70.79
Quartz Facility/Professional Facility Modifier TC Low / Median / High Price $50.12 / $134.90 / $134.90	Facility	TC	$50.12	$134.90	$134.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $141.25 / $186.21	Professional		$33.11	$141.25	$186.21
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $41.69 / $51.29	Professional	26	$10.00	$41.69	$51.29
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $97.72 / $134.90	Professional	TC	$22.91	$97.72	$134.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.86 / $181.97	Professional		$53.70	$75.86	$181.97
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $18.62 / $28.84	Professional	26	$15.85	$18.62	$28.84
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $41.69 / $75.86	Professional	TC	$35.48	$41.69	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $41.69 / $102.33	Professional		$28.18	$41.69	$102.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $12.59 / $28.18	Professional	26	$8.51	$12.59	$28.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $29.51 / $70.79	Professional	TC	$19.95	$29.51	$70.79