Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $21.88 / $21.88	Facility	26	$21.88	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $50.12	Professional		$19.95	$25.70	$50.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.95 / $25.70	Professional	26	$15.85	$19.95	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $23.99	Professional	TC	$3.02	$3.98	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $48.98 / $112.20	Professional		$28.18	$48.98	$112.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $40.74 / $97.72	Professional	26	$23.44	$40.74	$97.72
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.63 / $7.76 / $20.89	Professional	TC	$3.63	$7.76	$20.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $64.57 / $91.20	Facility	26	$56.23	$64.57	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $56.23 / $74.13	Professional		$23.44	$56.23	$74.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $46.77 / $61.66	Professional	26	$20.89	$46.77	$61.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.98 / $9.55 / $13.80	Professional	TC	$3.98	$9.55	$13.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $70.79	Professional		$35.48	$52.48	$70.79
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $43.65 / $58.88	Professional	26	$29.51	$43.65	$58.88
DeanCare Facility/Professional Professional Modifier TC Low / Median / High Price $5.75 / $8.13 / $11.75	Professional	TC	$5.75	$8.13	$11.75
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $100.00 / $100.00	Facility	26	$47.86	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $42.66 / $316.23	Professional		$23.44	$42.66	$316.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $28.84 / $158.49	Professional	26	$19.05	$28.84	$158.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $3.55 / $6.76 / $218.78	Professional	TC	$3.55	$6.76	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $57.54 / $223.87	Professional		$27.54	$57.54	$223.87
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $131.83 / $131.83	Facility	26	$100.00	$131.83	$131.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $194.98 / $323.59	Professional		$21.38	$194.98	$323.59
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $104.71 / $158.49	Professional	26	$17.78	$104.71	$158.49
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $3.55 / $114.82 / $223.87	Professional	TC	$3.55	$114.82	$223.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $128.82 / $128.82	Professional		$61.66	$128.82	$128.82
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $50.12 / $58.88	Professional	26	$42.66	$50.12	$58.88
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $6.61 / $8.32 / $10.00	Professional	TC	$6.61	$8.32	$10.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $37.15 / $81.28	Professional		$23.44	$37.15	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $25.12 / $66.07	Professional	26	$18.62	$25.12	$66.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.72 / $6.03 / $29.51	Professional	TC	$3.72	$6.03	$29.51