Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.00 / $2.00 / $9.33	Facility	26	$2.00	$2.00	$9.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $40.74	Professional		$12.88	$18.20	$40.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.00 / $3.02 / $9.55	Professional	26	$2.00	$3.02	$9.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $12.88 / $28.84	Professional	TC	$10.96	$12.88	$28.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $26.92 / $60.26	Professional		$16.22	$26.92	$60.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $2.88 / $5.25 / $12.88	Professional	26	$2.88	$5.25	$12.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $20.89 / $46.77	Professional	TC	$13.18	$20.89	$46.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.19 / $7.24 / $11.75	Facility	26	$2.19	$7.24	$11.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $36.31 / $53.70	Professional		$19.05	$36.31	$53.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.55 / $6.61 / $9.77	Professional	26	$3.55	$6.61	$9.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $29.51 / $44.67	Professional	TC	$15.14	$29.51	$44.67
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.90 / $45.71	Professional		$25.70	$30.90	$45.71
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $4.27 / $5.25 / $7.76	Professional	26	$4.27	$5.25	$7.76
DeanCare Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $25.70 / $50.12	Professional	TC	$21.38	$25.70	$50.12
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $5.89 / $100.00 / $100.00	Facility	26	$5.89	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $41.69 / $162.18	Professional		$22.91	$41.69	$162.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $4.68 / $8.91 / $53.70	Professional	26	$4.68	$8.91	$53.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $33.11 / $128.82	Professional	TC	$17.78	$33.11	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $38.90 / $57.54	Professional		$19.05	$38.90	$57.54
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $107.15 / $162.18	Professional		$19.05	$107.15	$162.18
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $3.80 / $26.92 / $36.31	Professional	26	$3.80	$26.92	$36.31
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $85.11 / $128.82	Professional	TC	$15.14	$85.11	$128.82
Security Health Facility/Professional Facility Modifier 26 Low / Median / High Price $8.51 / $8.51 / $8.51	Facility	26	$8.51	$8.51	$8.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $47.86 / $51.29	Professional		$30.90	$47.86	$51.29
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $3.80 / $8.51 / $10.72	Professional	26	$3.80	$8.51	$10.72
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $30.20 / $38.02	Professional	TC	$19.95	$30.20	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.90 / $67.61	Professional		$19.95	$30.90	$67.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.98 / $6.76 / $13.49	Professional	26	$3.98	$6.76	$13.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $24.55 / $52.48	Professional	TC	$16.22	$24.55	$52.48