Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $148.47 / $148.47 / $165.76	Facility	26	$148.47	$148.47	$165.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.05 / $475.00 / $908.32	Professional		$261.05	$475.00	$908.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.47 / $145.65 / $315.00	Professional	26	$72.47	$145.65	$315.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.19 / $338.49 / $552.03	Professional	TC	$186.19	$338.49	$552.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.20 / $630.35 / $1,945.69	Professional		$247.20	$630.35	$1,945.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.06 / $159.09 / $513.87	Professional	26	$69.06	$159.09	$513.87
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $178.13 / $454.23 / $1,443.85	Professional	TC	$178.13	$454.23	$1,443.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $185.63 / $216.92 / $288.31	Facility	26	$185.63	$216.92	$288.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.95 / $889.27 / $1,010.54	Professional		$359.95	$889.27	$1,010.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.41 / $249.15 / $283.13	Professional	26	$68.41	$249.15	$283.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $257.68 / $640.16 / $727.46	Professional	TC	$257.68	$640.16	$727.46
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $666.24 / $666.24 / $666.24	Facility	26	$666.24	$666.24	$666.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $318.70 / $824.43 / $3,076.60	Professional		$318.70	$824.43	$3,076.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $76.81 / $179.34 / $867.00	Professional	26	$76.81	$179.34	$867.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $230.03 / $653.66 / $2,747.24	Professional	TC	$230.03	$653.66	$2,747.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.47 / $185.60 / $487.55	Professional		$80.47	$185.60	$487.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $487.50 / $730.35 / $1,177.50	Professional		$487.50	$730.35	$1,177.50
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $169.25 / $666.24 / $666.24	Facility	26	$169.25	$666.24	$666.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $383.45 / $1,550.00 / $3,076.60	Professional		$383.45	$1,550.00	$3,076.60
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $104.93 / $369.50 / $867.00	Professional	26	$104.93	$369.50	$867.00
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $296.58 / $1,341.18 / $2,747.24	Professional	TC	$296.58	$1,341.18	$2,747.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,549.88 / $1,584.60 / $2,730.63	Professional		$1,549.88	$1,584.60	$2,730.63
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $324.97 / $362.43 / $431.07	Professional	26	$324.97	$362.43	$431.07
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,010.07 / $2,069.80 / $2,461.82	Professional	TC	$1,010.07	$2,069.80	$2,461.82
United Facility/Professional Professional Modifier Low / Median / High Price $295.14 / $717.09 / $1,490.78	Professional		$295.14	$717.09	$1,490.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.90 / $275.29 / $568.59	Professional	26	$87.90	$275.29	$568.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $210.78 / $506.37 / $1,112.68	Professional	TC	$210.78	$506.37	$1,112.68