Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $133.13 / $133.13 / $148.66	Facility	26	$133.13	$133.13	$148.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.91 / $475.00 / $895.94	Professional		$240.91	$475.00	$895.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.98 / $140.00 / $379.39	Professional	26	$64.98	$140.00	$379.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.77 / $335.00 / $517.40	Professional	TC	$173.77	$335.00	$517.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.27 / $582.10 / $1,801.68	Professional		$228.27	$582.10	$1,801.68
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.95 / $147.29 / $486.84	Professional	26	$61.95	$147.29	$486.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $166.33 / $424.14 / $1,314.84	Professional	TC	$166.33	$424.14	$1,314.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.71 / $194.81 / $258.92	Facility	26	$166.71	$194.81	$258.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.03 / $818.50 / $930.11	Professional		$330.03	$818.50	$930.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.17 / $223.31 / $253.76	Professional	26	$72.17	$223.31	$253.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $238.32 / $595.19 / $676.35	Professional	TC	$238.32	$595.19	$676.35
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $596.96 / $596.96 / $596.96	Facility	26	$596.96	$596.96	$596.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $327.68 / $809.36 / $2,821.00	Professional		$327.68	$809.36	$2,821.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $79.44 / $179.40 / $625.77	Professional	26	$79.44	$179.40	$625.77
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $241.62 / $633.78 / $2,451.15	Professional	TC	$241.62	$633.78	$2,451.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $165.45 / $380.07	Professional		$58.40	$165.45	$380.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $446.55 / $669.00 / $2,000.62	Professional		$446.55	$669.00	$2,000.62
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $151.69 / $596.96 / $596.96	Facility	26	$151.69	$596.96	$596.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $350.69 / $1,528.39 / $2,821.00	Professional		$350.69	$1,528.39	$2,821.00
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $94.06 / $331.00 / $625.77	Professional	26	$94.06	$331.00	$625.77
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $251.61 / $1,318.47 / $2,451.15	Professional	TC	$251.61	$1,318.47	$2,451.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,458.47 / $1,458.47 / $2,253.79	Professional		$1,458.47	$1,458.47	$2,253.79
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $301.14 / $362.90 / $481.08	Professional	26	$301.14	$362.90	$481.08
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $934.18 / $1,376.76 / $1,926.63	Professional	TC	$934.18	$1,376.76	$1,926.63
United Facility/Professional Professional Modifier Low / Median / High Price $278.82 / $665.84 / $1,294.78	Professional		$278.82	$665.84	$1,294.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.48 / $162.46 / $290.12	Professional	26	$75.48	$162.46	$290.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.03 / $538.99 / $1,643.15	Professional	TC	$223.03	$538.99	$1,643.15