Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $59.26 / $148.96	Professional		$47.46	$59.26	$148.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.86 / $22.12 / $39.49	Professional	26	$18.86	$22.12	$39.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.60 / $40.09 / $104.22	Professional	TC	$26.60	$40.09	$104.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $193.40 / $398.62	Professional		$29.66	$193.40	$398.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.94 / $73.98 / $151.69	Professional	26	$10.94	$73.98	$151.69
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.72 / $124.19 / $246.91	Professional	TC	$18.72	$124.19	$246.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.92 / $88.55 / $125.69	Facility	26	$77.92	$88.55	$125.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $107.62 / $230.12	Professional		$38.74	$107.62	$230.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.44 / $32.83 / $80.14	Professional	26	$12.44	$32.83	$80.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.30 / $75.72 / $156.44	Professional	TC	$22.30	$75.72	$156.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $113.54 / $113.54 / $113.54	Facility	26	$113.54	$113.54	$113.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.27 / $83.52 / $453.03	Professional		$46.27	$83.52	$453.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.14 / $29.44 / $158.49	Professional	26	$18.14	$29.44	$158.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.78 / $49.50 / $300.38	Professional	TC	$27.78	$49.50	$300.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $65.00 / $178.74	Professional		$26.89	$65.00	$178.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.33 / $192.83 / $270.45	Professional		$104.33	$192.83	$270.45
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $113.54	Facility	26	$100.00	$100.00	$113.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $346.55 / $453.03	Professional		$38.11	$346.55	$453.03
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $13.17 / $131.90 / $158.49	Professional	26	$13.17	$131.90	$158.49
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $26.07 / $214.65 / $300.38	Professional	TC	$26.07	$214.65	$300.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.01 / $90.51 / $409.39	Professional		$45.01	$90.51	$409.39
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.02 / $20.02 / $95.38	Professional	26	$20.02	$20.02	$95.38
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $33.06 / $33.06 / $157.56	Professional	TC	$33.06	$33.06	$157.56
United Facility/Professional Professional Modifier Low / Median / High Price $46.27 / $67.12 / $199.61	Professional		$46.27	$67.12	$199.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.48 / $26.05 / $75.97	Professional	26	$19.48	$26.05	$75.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.28 / $42.93 / $134.27	Professional	TC	$27.28	$42.93	$134.27