Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.18 / $133.12 / $153.08	Facility	26	$119.18	$133.12	$153.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.63 / $488.98 / $895.94	Professional		$236.63	$488.98	$895.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.22 / $133.12 / $322.00	Professional	26	$58.22	$133.12	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.73 / $335.00 / $500.58	Professional	TC	$168.73	$335.00	$500.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.97 / $553.27 / $1,782.72	Professional		$216.97	$553.27	$1,782.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.47 / $131.88 / $434.20	Professional	26	$55.47	$131.88	$434.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $161.50 / $411.82 / $1,335.68	Professional	TC	$161.50	$411.82	$1,335.68
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 $315.79 / $780.20 / $886.59	Professional		$315.79	$780.20	$886.59
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 $233.69 / $581.54 / $660.84	Professional	TC	$233.69	$581.54	$660.84
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 $285.29 / $744.06 / $2,961.02	Professional		$285.29	$744.06	$2,961.02
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $67.37 / $149.69 / $505.24	Professional	26	$67.37	$149.69	$505.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $213.98 / $608.07 / $2,631.72	Professional	TC	$213.98	$608.07	$2,631.72
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 $427.70 / $640.76 / $1,122.86	Professional		$427.70	$640.76	$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 $339.22 / $1,527.26 / $2,961.02	Professional		$339.22	$1,527.26	$2,961.02
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $83.68 / $297.10 / $505.24	Professional	26	$83.68	$297.10	$505.24
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $269.42 / $1,341.18 / $2,631.72	Professional	TC	$269.42	$1,341.18	$2,631.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,373.80 / $1,390.21 / $2,582.23	Professional		$1,373.80	$1,390.21	$2,582.23
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $285.60 / $324.97 / $431.07	Professional	26	$285.60	$324.97	$431.07
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $916.08 / $1,957.24 / $2,327.94	Professional	TC	$916.08	$1,957.24	$2,327.94
United Facility/Professional Professional Modifier Low / Median / High Price $263.89 / $628.01 / $1,334.46	Professional		$263.89	$628.01	$1,334.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.50 / $135.47 / $260.41	Professional	26	$64.50	$135.47	$260.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $187.56 / $479.39 / $1,035.08	Professional	TC	$187.56	$479.39	$1,035.08