Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $178.20 / $178.20 / $199.17	Facility	26	$178.20	$178.20	$199.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.24 / $593.23 / $2,264.53	Professional		$366.24	$593.23	$2,264.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.08 / $199.17 / $850.00	Professional	26	$87.08	$199.17	$850.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $276.27 / $353.41 / $664.68	Professional	TC	$276.27	$353.41	$664.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.39 / $877.86 / $2,730.09	Professional		$347.39	$877.86	$2,730.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.99 / $197.32 / $651.38	Professional	26	$82.99	$197.32	$651.38
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $264.41 / $674.24 / $2,164.48	Professional	TC	$264.41	$674.24	$2,164.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $223.48 / $261.14 / $347.09	Facility	26	$223.48	$261.14	$347.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.88 / $1,249.23 / $1,419.58	Professional		$504.88	$1,249.23	$1,419.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.26 / $298.02 / $338.66	Professional	26	$98.26	$298.02	$338.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $382.11 / $951.25 / $1,080.96	Professional	TC	$382.11	$951.25	$1,080.96
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $796.16 / $796.16 / $796.16	Facility	26	$796.16	$796.16	$796.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $451.57 / $1,187.61 / $5,311.18	Professional		$451.57	$1,187.61	$5,311.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $100.49 / $231.38 / $808.00	Professional	26	$100.49	$231.38	$808.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $344.83 / $979.90 / $4,858.99	Professional	TC	$344.83	$979.90	$4,858.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.83 / $231.39 / $676.68	Professional		$80.83	$231.39	$676.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $683.80 / $1,024.44 / $2,197.44	Professional		$683.80	$1,024.44	$2,197.44
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $202.45 / $796.16 / $796.16	Facility	26	$202.45	$796.16	$796.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $537.09 / $2,896.79 / $5,311.18	Professional		$537.09	$2,896.79	$5,311.18
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $125.52 / $444.75 / $808.00	Professional	26	$125.52	$444.75	$808.00
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $434.00 / $2,616.54 / $4,858.99	Professional	TC	$434.00	$2,616.54	$4,858.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,124.15 / $2,225.98 / $3,903.28	Professional		$2,124.15	$2,225.98	$3,903.28
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $428.40 / $485.05 / $644.77	Professional	26	$428.40	$485.05	$644.77
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,497.92 / $3,003.66 / $3,572.55	Professional	TC	$1,497.92	$3,003.66	$3,572.55
United Facility/Professional Professional Modifier Low / Median / High Price $417.48 / $1,016.04 / $2,184.33	Professional		$417.48	$1,016.04	$2,184.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.39 / $202.81 / $389.82	Professional	26	$92.39	$202.81	$389.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $315.97 / $759.09 / $2,146.67	Professional	TC	$315.97	$759.09	$2,146.67