Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.54 / $144.54 / $162.18	Facility	26	$144.54	$144.54	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $478.63 / $1,047.13	Professional		$275.42	$478.63	$1,047.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $125.89 / $234.42	Professional	26	$70.79	$125.89	$234.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $323.59 / $501.19	Professional	TC	$204.17	$323.59	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $1,548.82	Professional		$269.15	$426.58	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $104.71 / $398.11	Professional	26	$67.61	$104.71	$398.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $331.13 / $1,174.90	Professional	TC	$199.53	$331.13	$1,174.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $181.97 / $213.80 / $338.84	Facility	26	$181.97	$213.80	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $645.65 / $1,096.48	Professional		$288.40	$645.65	$1,096.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $158.49 / $281.84	Professional	26	$64.57	$158.49	$281.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $524.81 / $831.76	Professional	TC	$223.87	$524.81	$831.76
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $588.84 / $812.83	Professional		$489.78	$588.84	$812.83
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $154.88 / $208.93	Professional	26	$128.82	$154.88	$208.93
DeanCare Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $436.52 / $630.96	Professional	TC	$363.08	$436.52	$630.96
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	26	$660.69	$660.69	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $741.31 / $2,884.03	Professional		$354.81	$741.31	$2,884.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $162.18 / $549.54	Professional	26	$75.86	$162.18	$549.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $562.34 / $2,511.89	Professional	TC	$269.15	$562.34	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $457.09	Professional		$32.36	$33.11	$457.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $660.69 / $1,230.27	Professional		$338.84	$660.69	$1,230.27
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $630.96 / $630.96	Facility	26	$162.18	$630.96	$630.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,659.59 / $2,951.21	Professional		$380.19	$1,659.59	$2,951.21
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $363.08 / $549.54	Professional	26	$87.10	$363.08	$549.54
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $1,412.54 / $2,570.40	Professional	TC	$295.12	$1,412.54	$2,570.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,778.28 / $2,344.23	Professional		$1,584.89	$1,778.28	$2,344.23
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $302.00 / $426.58 / $549.54	Professional	26	$302.00	$426.58	$549.54
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,047.13 / $1,445.44 / $1,778.28	Professional	TC	$1,047.13	$1,445.44	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $549.54 / $1,148.15	Professional		$316.23	$549.54	$1,148.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $123.03 / $269.15	Professional	26	$75.86	$123.03	$269.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $426.58 / $933.25	Professional	TC	$239.88	$426.58	$933.25