Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $223.87	Professional		$75.86	$93.33	$223.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $25.12 / $141.25	Professional	26	$16.98	$25.12	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $70.79 / $154.88	Professional	TC	$57.54	$70.79	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $162.18 / $537.03	Professional		$34.67	$162.18	$537.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $50.12 / $134.90	Professional	26	$9.55	$50.12	$134.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $141.25 / $407.38	Professional	TC	$25.12	$141.25	$407.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $69.18 / $102.33	Facility	26	$61.66	$69.18	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $117.49 / $288.40	Professional		$39.81	$117.49	$288.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $26.30 / $61.66	Professional	26	$9.55	$26.30	$61.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $89.13 / $208.93	Professional	TC	$27.54	$89.13	$208.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $257.04	Professional		$229.09	$229.09	$257.04
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $52.48 / $58.88	Professional	26	$52.48	$52.48	$58.88
DeanCare Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $177.83 / $199.53	Professional	TC	$177.83	$177.83	$199.53
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 $64.57 / $93.33 / $630.96	Professional		$64.57	$93.33	$630.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $30.90 / $169.82	Professional	26	$15.85	$30.90	$169.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $70.79 / $501.19	Professional	TC	$46.77	$70.79	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $114.82	Professional		$32.36	$64.57	$114.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $281.84	Professional		$138.04	$194.98	$281.84
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $131.83	Facility	26	$100.00	$100.00	$131.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $467.74 / $630.96	Professional		$39.81	$467.74	$630.96
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $112.20 / $169.82	Professional	26	$9.12	$112.20	$169.82
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $354.81 / $501.19	Professional	TC	$28.84	$354.81	$501.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $223.87 / $457.09	Professional		$57.54	$223.87	$457.09
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $16.98 / $81.28	Professional	26	$16.98	$16.98	$81.28
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $39.81 / $190.55	Professional	TC	$39.81	$39.81	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $91.20 / $229.09	Professional		$58.88	$91.20	$229.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $22.39 / $58.88	Professional	26	$13.80	$22.39	$58.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $67.61 / $173.78	Professional	TC	$42.66	$67.61	$173.78