Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.87 / $214.58 / $382.43	Facility	26	$106.87	$214.58	$382.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.48 / $379.68 / $1,085.97	Professional		$340.48	$379.68	$1,085.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.56 / $109.95 / $362.43	Professional	26	$98.56	$109.95	$362.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $220.98 / $272.81 / $723.58	Professional	TC	$220.98	$272.81	$723.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.38 / $962.03 / $2,439.27	Professional		$322.38	$962.03	$2,439.27
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.85 / $283.73 / $722.61	Professional	26	$104.85	$283.73	$722.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $217.53 / $691.25 / $1,633.89	Professional	TC	$217.53	$691.25	$1,633.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $269.43 / $314.86 / $507.85	Facility	26	$269.43	$314.86	$507.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.06 / $1,162.18 / $1,466.03	Professional		$468.06	$1,162.18	$1,466.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $156.31 / $327.47 / $431.62	Professional	26	$156.31	$327.47	$431.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $325.95 / $834.72 / $1,041.65	Professional	TC	$325.95	$834.72	$1,041.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $356.57 / $865.20 / $1,866.77	Professional		$356.57	$865.20	$1,866.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $123.21 / $287.70 / $627.33	Professional	26	$123.21	$287.70	$627.33
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $242.82 / $536.01 / $1,300.39	Professional	TC	$242.82	$536.01	$1,300.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.17 / $246.81 / $707.23	Professional		$83.17	$246.81	$707.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $663.65 / $1,021.00 / $1,262.76	Professional		$663.65	$1,021.00	$1,262.76
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $473.80 / $473.80 / $473.80	Facility	26	$473.80	$473.80	$473.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $517.91 / $1,685.30 / $2,710.64	Professional		$517.91	$1,685.30	$2,710.64
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $145.93 / $523.10 / $785.60	Professional	26	$145.93	$523.10	$785.60
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $371.98 / $1,162.20 / $1,925.04	Professional	TC	$371.98	$1,162.20	$1,925.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,392.68 / $2,197.59 / $2,197.59	Professional		$1,392.68	$2,197.59	$2,197.59
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $488.56 / $517.51 / $574.78	Professional	26	$488.56	$517.51	$574.78
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $908.14 / $1,033.23 / $1,068.40	Professional	TC	$908.14	$1,033.23	$1,068.40
United Facility/Professional Professional Modifier Low / Median / High Price $356.57 / $926.92 / $1,682.10	Professional		$356.57	$926.92	$1,682.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $123.21 / $318.42 / $509.37	Professional	26	$123.21	$318.42	$509.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.96 / $661.68 / $1,202.66	Professional	TC	$245.96	$661.68	$1,202.66