Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.86 / $144.86 / $161.72	Facility	26	$144.86	$144.86	$161.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.81 / $575.65 / $1,001.34	Professional		$305.81	$575.65	$1,001.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.72 / $156.80 / $381.44	Professional	26	$70.72	$156.80	$381.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $233.65 / $375.20 / $631.87	Professional	TC	$233.65	$375.20	$631.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.10 / $840.51 / $2,713.98	Professional		$342.10	$840.51	$2,713.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.39 / $160.22 / $527.07	Professional	26	$67.39	$160.22	$527.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $274.70 / $685.30 / $2,186.91	Professional	TC	$274.70	$685.30	$2,186.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $180.22 / $210.61 / $279.91	Facility	26	$180.22	$210.61	$279.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.94 / $1,222.03 / $1,388.68	Professional		$488.94	$1,222.03	$1,388.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.94 / $241.90 / $274.89	Professional	26	$77.94	$241.90	$274.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $389.15 / $980.13 / $1,113.79	Professional	TC	$389.15	$980.13	$1,113.79
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $647.12 / $647.12 / $647.12	Facility	26	$647.12	$647.12	$647.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $485.24 / $1,036.96 / $3,077.22	Professional		$485.24	$1,036.96	$3,077.22
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $86.53 / $195.42 / $680.25	Professional	26	$86.53	$195.42	$680.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $397.60 / $860.17 / $2,677.57	Professional	TC	$397.60	$860.17	$2,677.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $198.92 / $551.18	Professional		$54.30	$198.92	$551.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $662.35 / $992.30 / $2,080.29	Professional		$662.35	$992.30	$2,080.29
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $164.33 / $647.12 / $647.12	Facility	26	$164.33	$647.12	$647.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $514.69 / $1,552.22 / $3,077.22	Professional		$514.69	$1,552.22	$3,077.22
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $101.88 / $360.55 / $680.25	Professional	26	$101.88	$360.55	$680.25
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $412.81 / $1,325.29 / $2,677.57	Professional	TC	$412.81	$1,325.29	$2,677.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,767.15 / $1,916.39 / $2,641.70	Professional		$1,767.15	$1,916.39	$2,641.70
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $303.45 / $391.95 / $522.00	Professional	26	$303.45	$391.95	$522.00
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,365.53 / $2,007.27 / $2,387.44	Professional	TC	$1,365.53	$2,007.27	$2,387.44
United Facility/Professional Professional Modifier Low / Median / High Price $459.17 / $972.86 / $1,867.36	Professional		$459.17	$972.86	$1,867.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.84 / $183.34 / $316.02	Professional	26	$79.84	$183.34	$316.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $354.00 / $752.77 / $1,490.46	Professional	TC	$354.00	$752.77	$1,490.46