Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.99 / $89.13	Professional		$16.60	$23.99	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $38.02 / $97.72	Professional	26	$10.00	$38.02	$97.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.03 / $8.91 / $31.62	Professional	TC	$6.03	$8.91	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $45.71 / $128.82	Professional		$9.12	$45.71	$128.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $28.18 / $77.62	Professional	26	$5.37	$28.18	$77.62
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.72 / $18.20 / $51.29	Professional	TC	$3.72	$18.20	$51.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $14.13 / $25.12	Facility		$9.33	$14.13	$25.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $16.98 / $28.84	Professional		$7.59	$16.98	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $72.44 / $107.15	Facility		$63.10	$72.44	$107.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $40.74 / $60.26	Facility	26	$35.48	$40.74	$60.26
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $27.54 / $30.90 / $45.71	Facility	TC	$27.54	$30.90	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $27.54 / $66.07	Professional		$9.33	$27.54	$66.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $16.22 / $36.31	Professional	26	$5.75	$16.22	$36.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.72 / $11.22 / $25.12	Professional	TC	$3.72	$11.22	$25.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $33.11 / $69.18	Facility		$17.78	$33.11	$69.18
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $60.26	Professional		$54.95	$54.95	$60.26
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $32.36 / $35.48	Professional	26	$32.36	$32.36	$35.48
DeanCare Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $21.88 / $23.99	Professional	TC	$21.88	$21.88	$23.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $25.12 / $100.00	Facility		$17.78	$25.12	$100.00
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 Facility Modifier TC Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	TC	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $30.20 / $131.83	Professional		$15.14	$30.20	$131.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $30.90 / $95.50	Professional	26	$9.55	$30.90	$95.50
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $5.62 / $10.23 / $95.50	Professional	TC	$5.62	$10.23	$95.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $58.88 / $85.11	Professional		$20.89	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $67.61	Professional		$34.67	$48.98	$67.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $131.83	Facility		$38.02	$38.02	$131.83
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 Facility Modifier TC Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	TC	$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $104.71 / $131.83	Professional		$9.33	$104.71	$131.83
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $63.10 / $95.50	Professional	26	$5.62	$63.10	$95.50
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $3.72 / $41.69 / $95.50	Professional	TC	$3.72	$41.69	$95.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $63.10 / $104.71	Professional		$33.11	$63.10	$104.71
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $9.77 / $45.71	Professional	26	$9.77	$9.77	$45.71
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $7.41 / $7.41 / $30.90	Professional	TC	$7.41	$7.41	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $20.89 / $51.29	Professional		$13.18	$20.89	$51.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $12.59 / $31.62	Professional	26	$7.76	$12.59	$31.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $5.13 / $8.32 / $17.78	Professional	TC	$5.13	$8.32	$17.78