Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.26 / $112.01 / $119.89	Facility	26	$104.26	$112.01	$119.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.89 / $362.23 / $739.23	Professional		$180.89	$362.23	$739.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.71 / $104.26 / $607.04	Professional	26	$54.71	$104.26	$607.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.36 / $257.97 / $490.54	Professional	TC	$127.36	$257.97	$490.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.11 / $461.84 / $1,421.05	Professional		$181.11	$461.84	$1,421.05
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.13 / $130.77 / $406.38	Professional	26	$52.13	$130.77	$406.38
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.97 / $328.91 / $1,014.68	Professional	TC	$128.97	$328.91	$1,014.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $140.57 / $164.27 / $218.33	Facility	26	$140.57	$164.27	$218.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.66 / $651.65 / $740.51	Professional		$263.66	$651.65	$740.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.03 / $187.76 / $213.36	Professional	26	$75.03	$187.76	$213.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.50 / $463.88 / $527.14	Professional	TC	$186.50	$463.88	$527.14
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $502.08 / $502.08 / $502.08	Facility	26	$502.08	$502.08	$502.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $259.38 / $585.76 / $1,940.92	Professional		$259.38	$585.76	$1,940.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $66.90 / $151.08 / $556.79	Professional	26	$66.90	$151.08	$556.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $192.48 / $434.68 / $1,561.11	Professional	TC	$192.48	$434.68	$1,561.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $133.72 / $315.99	Professional		$58.40	$133.72	$315.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $356.85 / $534.62 / $1,052.17	Professional		$356.85	$534.62	$1,052.17
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $127.55 / $502.08 / $502.08	Facility	26	$127.55	$502.08	$502.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $280.50 / $1,120.08 / $1,940.92	Professional		$280.50	$1,120.08	$1,940.92
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $79.08 / $278.75 / $556.79	Professional	26	$79.08	$278.75	$556.79
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $198.44 / $894.18 / $1,561.11	Professional	TC	$198.44	$894.18	$1,561.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $816.28 / $1,161.15 / $1,161.15	Professional		$816.28	$1,161.15	$1,161.15
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $188.77 / $242.76 / $372.53	Professional	26	$188.77	$242.76	$372.53
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $466.39 / $664.03 / $1,430.68	Professional	TC	$466.39	$664.03	$1,430.68
United Facility/Professional Professional Modifier Low / Median / High Price $229.50 / $539.36 / $960.28	Professional		$229.50	$539.36	$960.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.93 / $132.24 / $244.98	Professional	26	$60.93	$132.24	$244.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.26 / $404.87 / $715.30	Professional	TC	$169.26	$404.87	$715.30