Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.74 / $2.74 / $9.38	Facility	26	$2.74	$2.74	$9.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $16.77 / $31.90	Professional		$13.88	$16.77	$31.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.54 / $3.46 / $6.87	Professional	26	$2.54	$3.46	$6.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.18 / $13.42 / $26.01	Professional	TC	$11.18	$13.42	$26.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $27.01 / $63.30	Professional		$16.73	$27.01	$63.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $2.98 / $5.49 / $13.18	Professional	26	$2.98	$5.49	$13.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.25 / $21.16 / $50.77	Professional	TC	$13.25	$21.16	$50.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.31 / $7.37 / $11.31	Facility	26	$6.31	$7.37	$11.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.81 / $37.20 / $48.38	Professional		$21.81	$37.20	$48.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.85 / $6.41 / $9.42	Professional	26	$3.85	$6.41	$9.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.80 / $30.79 / $38.53	Professional	TC	$17.80	$30.79	$38.53
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $5.94 / $100.00 / $100.00	Facility	26	$5.94	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $41.84 / $161.00	Professional		$22.74	$41.84	$161.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $4.75 / $8.99 / $54.00	Professional	26	$4.75	$8.99	$54.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.70 / $33.90 / $129.00	Professional	TC	$17.70	$33.90	$129.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $55.07 / $73.23	Professional		$9.91	$55.07	$73.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $40.46 / $59.38	Professional		$24.75	$40.46	$59.38
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $3.35 / $100.00 / $100.00	Facility	26	$3.35	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $106.10 / $161.00	Professional		$26.93	$106.10	$161.00
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $4.82 / $27.21 / $54.00	Professional	26	$4.82	$27.21	$54.00
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $21.56 / $84.50 / $129.00	Professional	TC	$21.56	$84.50	$129.00
Security Health Facility/Professional Facility Modifier 26 Low / Median / High Price $8.56 / $8.56 / $8.56	Facility	26	$8.56	$8.56	$8.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $51.52 / $51.52	Professional		$33.47	$51.52	$51.52
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $3.65 / $8.56 / $10.83	Professional	26	$3.65	$8.56	$10.83
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $17.55 / $30.24 / $38.26	Professional	TC	$17.55	$30.24	$38.26
United Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $33.50 / $79.58	Professional		$20.62	$33.50	$79.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.25 / $7.53 / $16.20	Professional	26	$4.25	$7.53	$16.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.38 / $28.10 / $63.38	Professional	TC	$16.38	$28.10	$63.38