Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.18 / $125.21 / $125.21	Facility	26	$117.18	$125.21	$125.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.15 / $370.64 / $634.57	Professional		$185.15	$370.64	$634.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.93 / $85.37 / $179.89	Professional	26	$60.93	$85.37	$179.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.13 / $253.46 / $473.68	Professional	TC	$125.13	$253.46	$473.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.32 / $443.40 / $1,457.51	Professional		$185.32	$443.40	$1,457.51
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.59 / $139.31 / $457.94	Professional	26	$58.59	$139.31	$457.94
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $126.73 / $303.45 / $999.57	Professional	TC	$126.73	$303.45	$999.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $156.79 / $183.23 / $243.52	Facility	26	$156.79	$183.23	$243.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.92 / $664.52 / $755.14	Professional		$268.92	$664.52	$755.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.95 / $209.99 / $238.63	Professional	26	$76.95	$209.99	$238.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $182.66 / $454.50 / $516.48	Professional	TC	$182.66	$454.50	$516.48
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $561.91 / $561.91 / $561.91	Facility	26	$561.91	$561.91	$561.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $236.40 / $592.83 / $2,075.08	Professional		$236.40	$592.83	$2,075.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $74.56 / $169.73 / $460.66	Professional	26	$74.56	$169.73	$460.66
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $161.24 / $436.70 / $1,685.33	Professional	TC	$161.24	$436.70	$1,685.33
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 $364.00 / $545.33 / $1,135.21	Professional		$364.00	$545.33	$1,135.21
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $142.65 / $561.91 / $561.91	Facility	26	$142.65	$561.91	$561.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $286.45 / $1,188.55 / $2,075.08	Professional		$286.45	$1,188.55	$2,075.08
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $88.45 / $313.14 / $460.66	Professional	26	$88.45	$313.14	$460.66
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $194.39 / $955.53 / $1,685.33	Professional	TC	$194.39	$955.53	$1,685.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $578.45 / $1,184.08 / $1,184.08	Professional		$578.45	$1,184.08	$1,184.08
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $209.56 / $242.76 / $382.24	Professional	26	$209.56	$242.76	$382.24
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $384.54 / $452.40 / $1,473.88	Professional	TC	$384.54	$452.40	$1,473.88
United Facility/Professional Professional Modifier Low / Median / High Price $210.99 / $509.68 / $963.00	Professional		$210.99	$509.68	$963.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.33 / $149.61 / $274.48	Professional	26	$69.33	$149.61	$274.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.72 / $349.53 / $747.71	Professional	TC	$147.72	$349.53	$747.71