Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.91 / $11.91 / $91.91	Facility	26	$11.91	$11.91	$91.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.11 / $8.63 / $131.00	Professional	26	$6.11	$8.63	$131.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.55 / $25.50 / $37.70	Professional	TC	$19.55	$25.50	$37.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.30 / $40.79 / $149.34	Professional	26	$25.30	$40.79	$149.34
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $78.84 / $127.18 / $465.38	Professional	TC	$78.84	$127.18	$465.38
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 $117.25 / $221.80 / $254.78	Professional	TC	$117.25	$221.80	$254.78
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 $70.48 / $393.12 / $393.12	Professional	TC	$70.48	$393.12	$393.12
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 $119.05 / $330.71 / $393.12	Professional	TC	$119.05	$330.71	$393.12
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 $224.14 / $246.80 / $335.65	Professional	TC	$224.14	$246.80	$335.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.92 / $28.43 / $48.60	Professional	26	$22.92	$28.43	$48.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.48 / $94.99 / $154.46	Professional	TC	$70.48	$94.99	$154.46