Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.30 / $22.19 / $22.19	Facility	26	$19.30	$22.19	$22.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $61.80 / $180.73	Professional		$38.64	$61.80	$180.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.50 / $22.34 / $50.09	Professional	26	$17.50	$22.34	$50.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.06 / $29.37 / $52.99	Professional	TC	$21.06	$29.37	$52.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.74 / $89.99 / $151.11	Professional		$46.74	$89.99	$151.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.44 / $40.20 / $68.92	Professional	26	$21.44	$40.20	$68.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.30 / $49.49 / $83.05	Professional	TC	$25.30	$49.49	$83.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.97 / $64.23 / $72.98	Facility	26	$54.97	$64.23	$72.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.44 / $94.57 / $123.17	Professional		$51.44	$94.57	$123.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.89 / $41.55 / $51.66	Professional	26	$22.89	$41.55	$51.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.11 / $53.04 / $66.09	Professional	TC	$29.11	$53.04	$66.09
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $47.60 / $100.00 / $100.00	Facility	26	$47.60	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.53 / $65.66 / $183.60	Professional		$45.53	$65.66	$183.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.80 / $27.82 / $84.53	Professional	26	$19.80	$27.82	$84.53
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.25 / $38.29 / $98.57	Professional	TC	$24.25	$38.29	$98.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $52.71 / $74.33	Professional		$21.18	$52.71	$74.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $58.07 / $107.49 / $151.44	Professional		$58.07	$107.49	$151.44
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $41.75 / $47.60 / $100.00	Facility	26	$41.75	$47.60	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $84.05 / $260.27 / $339.23	Professional		$84.05	$260.27	$339.23
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $38.51 / $107.00 / $128.44	Professional	26	$38.51	$107.00	$128.44
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $45.10 / $168.97 / $221.35	Professional	TC	$45.10	$168.97	$221.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $166.01 / $166.01	Professional		$73.94	$166.01	$166.01
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.82 / $33.32 / $64.03	Professional	26	$28.82	$33.32	$64.03
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $16.78 / $39.86 / $75.93	Professional	TC	$16.78	$39.86	$75.93
United Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $60.27 / $115.45	Professional		$43.49	$60.27	$115.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.23 / $26.43 / $49.11	Professional	26	$19.23	$26.43	$49.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.25 / $35.90 / $64.64	Professional	TC	$24.25	$35.90	$64.64