Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.92 / $86.93 / $177.44	Professional		$64.92	$86.93	$177.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.18 / $18.98 / $40.99	Professional	26	$15.18	$18.98	$40.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.74 / $67.94 / $136.47	Professional	TC	$49.74	$67.94	$136.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $221.29 / $469.50	Professional		$34.85	$221.29	$469.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.50 / $61.70 / $129.51	Professional	26	$9.50	$61.70	$129.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.34 / $160.90 / $362.47	Professional	TC	$25.34	$160.90	$362.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.08 / $69.40 / $98.51	Facility	26	$61.08	$69.40	$98.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $118.86 / $282.06	Professional		$39.79	$118.86	$282.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.64 / $26.33 / $63.99	Professional	26	$9.64	$26.33	$63.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.52 / $91.12 / $218.06	Professional	TC	$23.52	$91.12	$218.06
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 Professional Modifier Low / Median / High Price $70.53 / $93.88 / $626.79	Professional		$70.53	$93.88	$626.79
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.74 / $24.99 / $171.71	Professional	26	$15.74	$24.99	$171.71
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $47.19 / $71.36 / $496.32	Professional	TC	$47.19	$71.36	$496.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $70.00 / $251.09	Professional		$30.60	$70.00	$251.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $139.47 / $198.22 / $288.27	Professional		$139.47	$198.22	$288.27
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 Professional Modifier Low / Median / High Price $48.05 / $469.40 / $626.79	Professional		$48.05	$469.40	$626.79
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $10.84 / $112.60 / $171.71	Professional	26	$10.84	$112.60	$171.71
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $32.76 / $356.75 / $496.32	Professional	TC	$32.76	$356.75	$496.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.14 / $57.14 / $455.20	Professional		$57.14	$57.14	$455.20
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.12 / $17.12 / $81.62	Professional	26	$17.12	$17.12	$81.62
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $40.01 / $40.01 / $190.67	Professional	TC	$40.01	$40.01	$190.67
United Facility/Professional Professional Modifier Low / Median / High Price $64.11 / $90.52 / $246.47	Professional		$64.11	$90.52	$246.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.74 / $22.52 / $70.61	Professional	26	$15.74	$22.52	$70.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.30 / $68.23 / $193.10	Professional	TC	$46.30	$68.23	$193.10