Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $145.62 / $145.62 / $162.59	Facility	26	$145.62	$145.62	$162.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.51 / $476.39 / $1,700.00	Professional		$282.51	$476.39	$1,700.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.06 / $140.00 / $222.17	Professional	26	$71.06	$140.00	$222.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $209.06 / $335.00 / $546.09	Professional	TC	$209.06	$335.00	$546.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.87 / $654.97 / $2,124.00	Professional		$267.87	$654.97	$2,124.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.73 / $161.07 / $532.41	Professional	26	$67.73	$161.07	$532.41
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $200.13 / $498.19 / $1,591.59	Professional	TC	$200.13	$498.19	$1,591.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $182.03 / $212.71 / $282.70	Facility	26	$182.03	$212.71	$282.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.46 / $955.59 / $1,085.90	Professional		$382.46	$955.59	$1,085.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.08 / $244.32 / $277.64	Professional	26	$81.08	$244.32	$277.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $282.14 / $711.26 / $808.25	Professional	TC	$282.14	$711.26	$808.25
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $653.60 / $653.60 / $653.60	Facility	26	$653.60	$653.60	$653.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $386.78 / $870.46 / $2,872.81	Professional		$386.78	$870.46	$2,872.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.41 / $197.40 / $548.98	Professional	26	$87.41	$197.40	$548.98
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $292.37 / $707.15 / $2,498.98	Professional	TC	$292.37	$707.15	$2,498.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $170.50 / $436.16	Professional		$54.30	$170.50	$436.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $518.04 / $776.12 / $1,251.29	Professional		$518.04	$776.12	$1,251.29
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $165.98 / $653.60 / $653.60	Facility	26	$165.98	$653.60	$653.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $402.48 / $1,572.65 / $2,872.81	Professional		$402.48	$1,572.65	$2,872.81
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $102.91 / $364.20 / $548.98	Professional	26	$102.91	$364.20	$548.98
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $299.57 / $1,341.18 / $2,498.98	Professional	TC	$299.57	$1,341.18	$2,498.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,668.98 / $1,702.73 / $2,027.55	Professional		$1,668.98	$1,702.73	$2,027.55
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $303.45 / $395.86 / $527.19	Professional	26	$303.45	$395.86	$527.19
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,106.01 / $1,452.80 / $1,727.96	Professional	TC	$1,106.01	$1,452.80	$1,727.96
United Facility/Professional Professional Modifier Low / Median / High Price $357.29 / $803.90 / $1,382.49	Professional		$357.29	$803.90	$1,382.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.60 / $185.20 / $319.23	Professional	26	$82.60	$185.20	$319.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $269.88 / $607.23 / $1,097.56	Professional	TC	$269.88	$607.23	$1,097.56