Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $176.74 / $176.74 / $197.54	Facility	26	$176.74	$176.74	$197.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.86 / $494.18 / $857.99	Professional		$287.86	$494.18	$857.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.39 / $154.00 / $439.23	Professional	26	$86.39	$154.00	$439.23
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $139.68 / $223.02 / $382.98	Professional	52	$139.68	$223.02	$382.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $198.63 / $348.53 / $530.30	Professional	TC	$198.63	$348.53	$530.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.35 / $653.34 / $2,142.01	Professional		$272.35	$653.34	$2,142.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.31 / $195.71 / $643.51	Professional	26	$82.31	$195.71	$643.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.04 / $464.17 / $1,498.50	Professional	TC	$190.04	$464.17	$1,498.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $221.68 / $259.05 / $344.29	Facility	26	$221.68	$259.05	$344.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.75 / $977.93 / $1,111.29	Professional		$395.75	$977.93	$1,111.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.51 / $295.56 / $335.86	Professional	26	$97.51	$295.56	$335.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $273.99 / $682.34 / $775.39	Professional	TC	$273.99	$682.34	$775.39
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $789.76 / $789.76 / $789.76	Facility	26	$789.76	$789.76	$789.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $386.78 / $933.93 / $3,445.62	Professional		$386.78	$933.93	$3,445.62
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $105.47 / $238.18 / $672.00	Professional	26	$105.47	$238.18	$672.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $273.67 / $678.10 / $2,996.90	Professional	TC	$273.67	$678.10	$2,996.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.47 / $191.29 / $494.25	Professional		$80.47	$191.29	$494.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $535.60 / $802.41 / $2,481.71	Professional		$535.60	$802.41	$2,481.71
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $200.78 / $789.76 / $789.76	Facility	26	$200.78	$789.76	$789.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $421.19 / $1,886.95 / $3,445.62	Professional		$421.19	$1,886.95	$3,445.62
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $124.48 / $439.45 / $672.00	Professional	26	$124.48	$439.45	$672.00
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $291.58 / $1,608.95 / $2,996.90	Professional	TC	$291.58	$1,608.95	$2,996.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,724.95 / $1,742.53 / $2,389.39	Professional		$1,724.95	$1,742.53	$2,389.39
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $364.14 / $482.20 / $639.59	Professional	26	$364.14	$482.20	$639.59
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,074.05 / $1,350.66 / $2,217.80	Professional	TC	$1,074.05	$1,350.66	$2,217.80
United Facility/Professional Professional Modifier Low / Median / High Price $333.14 / $805.71 / $1,558.56	Professional		$333.14	$805.71	$1,558.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $99.86 / $205.45 / $385.18	Professional	26	$99.86	$205.45	$385.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $252.62 / $556.11 / $1,292.21	Professional	TC	$252.62	$556.11	$1,292.21