Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $158.49 / $223.87	Facility	26	$158.49	$158.49	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $1,023.29	Professional		$346.74	$436.52	$1,023.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $158.49 / $389.05	Professional	26	$91.20	$158.49	$389.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $323.59 / $691.83	Professional	TC	$245.47	$323.59	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $2,238.72	Professional		$398.11	$616.60	$2,238.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $158.49 / $575.44	Professional	26	$102.33	$158.49	$575.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $457.09 / $1,659.59	Professional	TC	$295.12	$457.09	$1,659.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $281.84 / $323.59 / $524.81	Facility	26	$281.84	$323.59	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,318.26 / $2,137.96	Professional		$575.44	$1,318.26	$2,137.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $338.84 / $549.54	Professional	26	$154.88	$338.84	$549.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $426.58 / $977.24 / $1,584.89	Professional	TC	$426.58	$977.24	$1,584.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,202.26	Professional		$794.33	$933.25	$1,202.26
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $213.80 / $245.47 / $302.00	Professional	26	$213.80	$245.47	$302.00
DeanCare Facility/Professional Professional Modifier TC Low / Median / High Price $588.84 / $741.31 / $933.25	Professional	TC	$588.84	$741.31	$933.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $912.01 / $2,691.53	Professional		$489.78	$912.01	$2,691.53
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $229.09 / $660.69	Professional	26	$117.49	$229.09	$660.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $707.95 / $1,995.26	Professional	TC	$363.08	$707.95	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $309.03	Professional		$32.36	$33.11	$309.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,778.28	Professional		$645.65	$954.99	$1,778.28
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $251.19 / $251.19 / $660.69	Facility	26	$251.19	$251.19	$660.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $2,187.76 / $2,691.53	Professional		$575.44	$2,187.76	$2,691.53
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $524.81 / $660.69	Professional	26	$154.88	$524.81	$660.69
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $426.58 / $1,659.59 / $1,995.26	Professional	TC	$426.58	$1,659.59	$1,995.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,511.89 / $3,311.31	Professional		$1,412.54	$2,511.89	$3,311.31
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $316.23 / $354.81 / $549.54	Professional	26	$316.23	$354.81	$549.54
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,023.29 / $1,202.26 / $1,737.80	Professional	TC	$1,023.29	$1,202.26	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $831.76 / $1,949.84	Professional		$457.09	$831.76	$1,949.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $194.98 / $467.74	Professional	26	$109.65	$194.98	$467.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $630.96 / $1,479.11	Professional	TC	$354.81	$630.96	$1,479.11