Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.49 / $132.35 / $152.19	Facility	26	$118.49	$132.35	$152.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.91 / $475.00 / $1,111.50	Professional		$240.91	$475.00	$1,111.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.86 / $132.35 / $202.02	Professional	26	$57.86	$132.35	$202.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.15 / $335.00 / $536.20	Professional	TC	$181.15	$335.00	$536.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.45 / $582.54 / $1,794.33	Professional		$228.45	$582.54	$1,794.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.15 / $131.13 / $431.69	Professional	26	$55.15	$131.13	$431.69
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.30 / $441.92 / $1,418.06	Professional	TC	$173.30	$441.92	$1,418.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $148.68 / $173.75 / $230.93	Facility	26	$148.68	$173.75	$230.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.59 / $821.23 / $933.21	Professional		$332.59	$821.23	$933.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.15 / $198.69 / $225.79	Professional	26	$65.15	$198.69	$225.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $250.96 / $622.58 / $707.48	Professional	TC	$250.96	$622.58	$707.48
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $530.79 / $530.79 / $530.79	Facility	26	$530.79	$530.79	$530.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $296.80 / $774.07 / $2,955.62	Professional		$296.80	$774.07	$2,955.62
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $67.34 / $149.69 / $596.05	Professional	26	$67.34	$149.69	$596.05
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $225.91 / $641.97 / $2,626.86	Professional	TC	$225.91	$641.97	$2,626.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $182.56 / $440.86	Professional		$58.40	$182.56	$440.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $450.45 / $674.84 / $1,122.86	Professional		$450.45	$674.84	$1,122.86
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $134.97 / $530.79 / $530.79	Facility	26	$134.97	$530.79	$530.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $353.84 / $1,550.00 / $2,955.62	Professional		$353.84	$1,550.00	$2,955.62
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $83.68 / $300.00 / $596.05	Professional	26	$83.68	$300.00	$596.05
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $282.39 / $1,341.18 / $2,626.86	Professional	TC	$282.39	$1,341.18	$2,626.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,440.22 / $1,463.34 / $2,537.15	Professional		$1,440.22	$1,463.34	$2,537.15
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $319.95 / $360.34 / $428.59	Professional	26	$319.95	$360.34	$428.59
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $983.77 / $1,925.98 / $2,290.76	Professional	TC	$983.77	$1,925.98	$2,290.76
United Facility/Professional Professional Modifier Low / Median / High Price $274.44 / $643.37 / $1,388.29	Professional		$274.44	$643.37	$1,388.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.48 / $143.62 / $258.87	Professional	26	$64.48	$143.62	$258.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $198.86 / $497.31 / $1,177.82	Professional	TC	$198.86	$497.31	$1,177.82