Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $26.30 / $31.62	Facility	26	$21.88	$26.30	$31.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $54.95 / $117.49	Professional		$33.11	$54.95	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $21.88 / $53.70	Professional	26	$12.88	$21.88	$53.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $29.51 / $63.10	Professional	TC	$19.95	$29.51	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $218.78	Professional		$39.81	$64.57	$218.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $22.39 / $77.62	Professional	26	$14.45	$22.39	$77.62
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $38.90 / $131.83	Professional	TC	$23.44	$38.90	$131.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $46.77 / $74.13	Facility	26	$39.81	$46.77	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $97.72 / $165.96	Professional		$41.69	$97.72	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $32.36 / $61.66	Professional	26	$15.85	$32.36	$61.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $63.10 / $107.15	Professional	TC	$25.70	$63.10	$107.15
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $123.03	Professional		$75.86	$91.20	$123.03
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $33.11 / $41.69	Professional	26	$27.54	$33.11	$41.69
DeanCare Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $54.95 / $74.13	Professional	TC	$47.86	$54.95	$74.13
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 $46.77 / $91.20 / $389.05	Professional		$46.77	$91.20	$389.05
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $33.88 / $102.33	Professional	26	$16.22	$33.88	$102.33
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $60.26 / $302.00	Professional	TC	$26.30	$60.26	$302.00
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 $54.95 / $107.15 / $177.83	Professional		$54.95	$107.15	$177.83
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 $58.88 / $245.47 / $389.05	Professional		$58.88	$245.47	$389.05
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $79.43 / $102.33	Professional	26	$19.05	$79.43	$102.33
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $190.55 / $302.00	Professional	TC	$38.02	$190.55	$302.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $186.21 / $257.04	Professional		$81.28	$186.21	$257.04
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $43.65 / $70.79	Professional	26	$35.48	$43.65	$70.79
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $45.71 / $114.82	Professional	TC	$38.90	$45.71	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $67.61 / $158.49	Professional		$40.74	$67.61	$158.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $23.99 / $52.48	Professional	26	$16.22	$23.99	$52.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $41.69 / $102.33	Professional	TC	$24.55	$41.69	$102.33