Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $31.62 / $38.02	Facility	26	$21.88	$31.62	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $38.90 / $85.11	Professional		$17.78	$38.90	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $21.88 / $58.88	Professional	26	$10.23	$21.88	$58.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $23.99 / $50.12	Professional	TC	$10.00	$23.99	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $43.65 / $177.83	Professional		$16.98	$43.65	$177.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $16.22 / $69.18	Professional	26	$8.51	$16.22	$69.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.51 / $25.70 / $112.20	Professional	TC	$8.51	$25.70	$112.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.88 / $54.95	Professional		$19.05	$33.88	$54.95
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 $27.54 / $87.10 / $173.78	Professional		$27.54	$87.10	$173.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $31.62 / $61.66	Professional	26	$9.55	$31.62	$61.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $56.23 / $112.20	Professional	TC	$15.85	$56.23	$112.20
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $120.23	Professional		$58.88	$89.13	$120.23
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $31.62 / $41.69	Professional	26	$20.89	$31.62	$41.69
DeanCare Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $58.88 / $77.62	Professional	TC	$38.02	$58.88	$77.62
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 $23.44 / $61.66 / $741.31	Professional		$23.44	$61.66	$741.31
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $24.55 / $95.50	Professional	26	$9.77	$24.55	$95.50
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $38.02 / $724.44	Professional	TC	$13.18	$38.02	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.11 / $64.57	Professional		$24.55	$33.11	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $100.00 / $141.25	Professional		$56.23	$100.00	$141.25
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 $30.20 / $208.93 / $758.58	Professional		$30.20	$208.93	$758.58
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $77.62 / $95.50	Professional	26	$12.88	$77.62	$95.50
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $128.82 / $741.31	Professional	TC	$19.05	$128.82	$741.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $95.50 / $269.15	Professional		$35.48	$95.50	$269.15
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $21.88 / $43.65	Professional	26	$17.78	$21.88	$43.65
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $22.91 / $64.57	Professional	TC	$17.78	$22.91	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $51.29 / $128.82	Professional		$23.99	$51.29	$128.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $18.62 / $46.77	Professional	26	$9.77	$18.62	$46.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $32.36 / $81.28	Professional	TC	$13.18	$32.36	$81.28