Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.51 / $40.51 / $76.51	Facility	26	$40.51	$40.51	$76.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $60.07 / $103.82	Professional		$32.64	$60.07	$103.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.26 / $27.14 / $53.05	Professional	26	$20.26	$27.14	$53.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.75 / $37.35 / $63.31	Professional	TC	$10.75	$37.35	$63.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.05 / $76.83 / $273.33	Professional		$41.05	$76.83	$273.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.09 / $37.90 / $125.64	Professional	26	$21.09	$37.90	$125.64
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.71 / $46.85 / $145.61	Professional	TC	$18.71	$46.85	$145.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.07 / $63.18 / $96.92	Facility	26	$54.07	$63.18	$96.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.22 / $152.85 / $173.69	Professional		$78.22	$152.85	$173.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $59.25 / $67.33	Professional	26	$30.90	$59.25	$67.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.31 / $93.60 / $106.36	Professional	TC	$47.31	$93.60	$106.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $48.04 / $92.34 / $92.34	Facility	26	$48.04	$92.34	$92.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.07 / $70.86 / $355.02	Professional		$40.07	$70.86	$355.02
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.86 / $38.86 / $132.09	Professional	26	$22.86	$38.86	$132.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $36.65 / $222.93	Professional	TC	$13.18	$36.65	$222.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $40.22 / $74.33	Professional		$19.71	$40.22	$74.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $60.92 / $123.05 / $168.76	Professional		$60.92	$123.05	$168.76
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $27.28 / $48.04 / $92.34	Facility	26	$27.28	$48.04	$92.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $88.62 / $230.05 / $355.02	Professional		$88.62	$230.05	$355.02
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $34.35 / $107.85 / $132.09	Professional	26	$34.35	$107.85	$132.09
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $50.24 / $139.55 / $222.93	Professional	TC	$50.24	$139.55	$222.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $114.95 / $250.61 / $362.17	Professional		$114.95	$250.61	$362.17
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $76.42 / $89.90 / $109.20	Professional	26	$76.42	$89.90	$109.20
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $32.15 / $37.82 / $154.82	Professional	TC	$32.15	$37.82	$154.82
United Facility/Professional Professional Modifier Low / Median / High Price $41.42 / $73.62 / $151.25	Professional		$41.42	$73.62	$151.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.38 / $37.32 / $73.48	Professional	26	$22.38	$37.32	$73.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.65 / $37.64 / $80.33	Professional	TC	$13.65	$37.64	$80.33