Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $229.09 / $229.09 / $323.59	Facility	26	$229.09	$229.09	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $741.31	Professional		$218.78	$295.12	$741.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $218.78 / $537.03	Professional	26	$131.83	$218.78	$537.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $144.54 / $295.12	Professional	TC	$109.65	$144.54	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $1,513.56	Professional		$275.42	$426.58	$1,513.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $229.09 / $831.76	Professional	26	$147.91	$229.09	$831.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $199.53 / $691.83	Professional	TC	$128.82	$199.53	$691.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $407.38 / $467.74 / $758.58	Facility	26	$407.38	$467.74	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $954.99 / $1,479.11	Professional		$416.87	$954.99	$1,479.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $223.87 / $489.78 / $794.33	Professional	26	$223.87	$489.78	$794.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $457.09 / $707.95	Professional	TC	$199.53	$457.09	$707.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $676.08 / $812.83	Professional		$575.44	$676.08	$812.83
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $309.03 / $363.08 / $436.52	Professional	26	$309.03	$363.08	$436.52
DeanCare Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $323.59 / $389.05	Professional	TC	$275.42	$323.59	$389.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $575.44 / $1,778.28	Professional		$316.23	$575.44	$1,778.28
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $309.03 / $954.99	Professional	26	$169.82	$309.03	$954.99
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $269.15 / $831.76	Professional	TC	$147.91	$269.15	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $389.05	Professional		$32.36	$33.11	$389.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $1,258.93	Professional		$467.74	$691.83	$1,258.93
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $363.08 / $363.08 / $954.99	Facility	26	$363.08	$363.08	$954.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,412.54 / $1,778.28	Professional		$416.87	$1,412.54	$1,778.28
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $223.87 / $758.58 / $954.99	Professional	26	$223.87	$758.58	$954.99
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $645.65 / $831.76	Professional	TC	$199.53	$645.65	$831.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,778.28 / $2,137.96	Professional		$870.96	$1,778.28	$2,137.96
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $457.09 / $512.86 / $707.95	Professional	26	$457.09	$512.86	$707.95
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $416.87 / $457.09 / $616.60	Professional	TC	$416.87	$457.09	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $537.03 / $1,258.93	Professional		$295.12	$537.03	$1,258.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $288.40 / $676.08	Professional	26	$158.49	$288.40	$676.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $251.19 / $575.44	Professional	TC	$138.04	$251.19	$575.44