Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.07 / $20.07 / $91.91	Facility	26	$20.07	$20.07	$91.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.99 / $12.06 / $37.53	Professional	26	$9.99	$12.06	$37.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.07 / $18.88 / $28.89	Professional	TC	$15.07	$18.88	$28.89
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.57 / $40.79 / $149.34	Professional	26	$24.57	$40.79	$149.34
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.63 / $59.17 / $216.54	Professional	TC	$35.63	$59.17	$216.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.88 / $75.81 / $116.31	Facility	26	$64.88	$75.81	$116.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.11 / $71.17 / $80.88	Professional	26	$37.11	$71.17	$80.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.60 / $103.22 / $119.19	Professional	TC	$54.60	$103.22	$119.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $57.75 / $110.49 / $110.49	Facility	26	$57.75	$110.49	$110.49
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.92 / $149.40 / $149.40	Professional	26	$22.92	$149.40	$149.40
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $32.92 / $183.70 / $183.70	Professional	TC	$32.92	$183.70	$183.70
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $32.78 / $57.75 / $110.49	Facility	26	$32.78	$57.75	$110.49
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $38.20 / $106.11 / $149.40	Professional	26	$38.20	$106.11	$149.40
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $55.40 / $153.90 / $183.70	Professional	TC	$55.40	$153.90	$183.70
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $71.92 / $79.20 / $107.71	Professional	26	$71.92	$79.20	$107.71
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $104.31 / $114.85 / $156.19	Professional	TC	$104.31	$114.85	$156.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.92 / $29.89 / $48.60	Professional	26	$22.92	$29.89	$48.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.92 / $44.22 / $71.90	Professional	TC	$32.92	$44.22	$71.90