Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.56 / $246.09 / $741.06	Facility		$71.56	$246.09	$741.06
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.89 / $19.89 / $68.17	Facility	26	$19.89	$19.89	$68.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $102.33 / $187.85	Professional		$62.37	$102.33	$187.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.73 / $19.89 / $33.24	Professional	26	$16.73	$19.89	$33.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.92 / $76.98 / $165.78	Professional	TC	$44.92	$76.98	$165.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.01 / $118.56 / $351.74	Professional		$67.01	$118.56	$351.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.07 / $26.29 / $79.54	Professional	26	$18.07	$26.29	$79.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.07 / $86.52 / $272.49	Professional	TC	$48.07	$86.52	$272.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.83 / $214.82 / $329.54	Facility		$183.83	$214.82	$329.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.76 / $55.81 / $85.61	Facility	26	$47.76	$55.81	$85.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.89 / $171.33 / $247.75	Professional		$80.89	$171.33	$247.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.09 / $46.51 / $65.65	Professional	26	$22.09	$46.51	$65.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.62 / $124.82 / $182.10	Professional	TC	$56.62	$124.82	$182.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $62.21 / $78.29 / $153.43	Facility		$62.21	$78.29	$153.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.37 / $83.74 / $162.41	Facility		$61.37	$83.74	$162.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.41 / $194.66 / $803.55	Professional		$90.41	$194.66	$803.55
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.92 / $46.52 / $416.07	Professional	26	$20.92	$46.52	$416.07
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $62.11 / $153.82 / $567.25	Professional	TC	$62.11	$153.82	$567.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.36 / $59.06 / $137.18	Professional		$25.36	$59.06	$137.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $62.21 / $78.55 / $170.39	Facility		$62.21	$78.55	$170.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $106.92 / $152.72 / $217.80	Professional		$106.92	$152.72	$217.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $349.02 / $349.02	Facility		$349.02	$349.02	$349.02
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $134.26 / $134.26 / $134.26	Facility	26	$134.26	$134.26	$134.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $112.76 / $435.35 / $803.55	Professional		$112.76	$435.35	$803.55
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $30.62 / $92.85 / $416.07	Professional	26	$30.62	$92.85	$416.07
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $93.88 / $365.42 / $567.25	Professional	TC	$93.88	$365.42	$567.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $346.05 / $377.99	Professional		$137.80	$346.05	$377.99
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.05 / $46.99 / $68.09	Professional	26	$23.05	$46.99	$68.09
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $57.91 / $270.83 / $435.23	Professional	TC	$57.91	$270.83	$435.23
United Facility/Professional Professional Modifier Low / Median / High Price $84.47 / $166.39 / $288.31	Professional		$84.47	$166.39	$288.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.92 / $37.25 / $70.04	Professional	26	$20.92	$37.25	$70.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.90 / $122.28 / $209.24	Professional	TC	$60.90	$122.28	$209.24