Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $741.31	Facility		$70.79	$70.79	$741.31
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $19.05 / $67.61	Facility	26	$19.05	$19.05	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $194.98	Professional		$60.26	$74.13	$194.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $18.20 / $45.71	Professional	26	$15.14	$18.20	$45.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $52.48 / $138.04	Professional	TC	$42.66	$52.48	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $109.65 / $309.03	Professional		$67.61	$109.65	$309.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $27.54 / $64.57	Professional	26	$18.62	$27.54	$64.57
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $77.62 / $257.04	Professional	TC	$47.86	$77.62	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $213.80 / $338.84	Facility		$181.97	$213.80	$338.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $56.23 / $89.13	Facility	26	$47.86	$56.23	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $173.78 / $257.04	Professional		$79.43	$173.78	$257.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $47.86 / $67.61	Professional	26	$19.95	$47.86	$67.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $125.89 / $190.55	Professional	TC	$56.23	$125.89	$190.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $81.28 / $162.18	Facility		$61.66	$81.28	$162.18
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $186.21	Professional		$117.49	$138.04	$186.21
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $38.02 / $51.29	Professional	26	$32.36	$38.02	$51.29
DeanCare Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $100.00 / $134.90	Professional	TC	$85.11	$100.00	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $85.11 / $186.21	Facility		$61.66	$85.11	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $181.97 / $812.83	Professional		$83.18	$181.97	$812.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $36.31 / $416.87	Professional	26	$19.05	$36.31	$416.87
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $138.04 / $562.34	Professional	TC	$60.26	$138.04	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $117.49	Professional		$32.36	$33.11	$117.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $151.36 / $223.87	Professional		$89.13	$151.36	$223.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $416.87 / $416.87	Facility		$154.88	$416.87	$416.87
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $134.90 / $134.90	Facility	26	$100.00	$134.90	$134.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $524.81 / $812.83	Professional		$85.11	$524.81	$812.83
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $93.33 / $416.87	Professional	26	$21.88	$93.33	$416.87
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $363.08 / $575.44	Professional	TC	$61.66	$363.08	$575.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $331.13 / $398.11	Professional		$138.04	$331.13	$398.11
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $46.77 / $67.61	Professional	26	$22.91	$46.77	$67.61
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $263.03 / $323.59	Professional	TC	$57.54	$263.03	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $758.58	Facility		$575.44	$575.44	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $147.91 / $251.19	Professional		$79.43	$147.91	$251.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $30.90 / $64.57	Professional	26	$19.05	$30.90	$64.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $109.65 / $204.17	Professional	TC	$58.88	$109.65	$204.17