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 $316.23 / $436.52 / $870.96	Professional		$316.23	$436.52	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $154.88 / $346.74	Professional	26	$112.20	$154.88	$346.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $288.40 / $602.56	Professional	TC	$186.21	$288.40	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $616.60 / $2,290.87	Professional		$380.19	$616.60	$2,290.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $229.09 / $812.83	Professional	26	$147.91	$229.09	$812.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $346.74 / $1,513.56	Professional	TC	$229.09	$346.74	$1,513.56
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 $660.69 / $1,513.56 / $2,398.83	Professional		$660.69	$1,513.56	$2,398.83
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 $446.68 / $912.01 / $1,584.89	Professional	TC	$446.68	$912.01	$1,584.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,023.29 / $1,288.25	Professional		$912.01	$1,023.29	$1,288.25
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $309.03 / $354.81 / $436.52	Professional	26	$309.03	$354.81	$436.52
DeanCare Facility/Professional Professional Modifier TC Low / Median / High Price $537.03 / $676.08 / $870.96	Professional	TC	$537.03	$676.08	$870.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $794.33 / $2,884.03	Professional		$426.58	$794.33	$2,884.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $302.00 / $954.99	Professional	26	$169.82	$302.00	$954.99
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $467.74 / $1,905.46	Professional	TC	$257.04	$467.74	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $446.68	Professional		$32.36	$33.11	$446.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,096.48 / $1,698.24	Professional		$676.08	$1,096.48	$1,698.24
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 $660.69 / $1,995.26 / $2,884.03	Professional		$660.69	$1,995.26	$2,884.03
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 $446.68 / $1,288.25 / $1,905.46	Professional	TC	$446.68	$1,288.25	$1,905.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,818.38 / $3,235.94	Professional		$1,174.90	$2,818.38	$3,235.94
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 $616.60 / $676.08 / $1,288.25	Professional	TC	$616.60	$676.08	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $691.83 / $1,621.81	Professional		$416.87	$691.83	$1,621.81
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 $245.47 / $389.05 / $1,023.29	Professional	TC	$245.47	$389.05	$1,023.29