Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $177.55 / $195.03 / $228.20	Facility	26	$177.55	$195.03	$228.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.51 / $494.18 / $1,061.18	Professional		$354.51	$494.18	$1,061.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.72 / $161.00 / $841.50	Professional	26	$86.72	$161.00	$841.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $264.85 / $348.53 / $608.30	Professional	TC	$264.85	$348.53	$608.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.14 / $815.90 / $2,657.29	Professional		$336.14	$815.90	$2,657.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.68 / $196.59 / $649.02	Professional	26	$82.68	$196.59	$649.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $253.46 / $625.12 / $2,008.28	Professional	TC	$253.46	$625.12	$2,008.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $222.58 / $260.10 / $345.69	Facility	26	$222.58	$260.10	$345.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.19 / $1,207.09 / $1,371.70	Professional		$486.19	$1,207.09	$1,371.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.64 / $296.88 / $337.36	Professional	26	$98.64	$296.88	$337.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $363.88 / $910.22 / $1,034.33	Professional	TC	$363.88	$910.22	$1,034.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $793.04 / $793.04 / $793.04	Facility	26	$793.04	$793.04	$793.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $445.02 / $979.64 / $3,032.66	Professional		$445.02	$979.64	$3,032.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $100.65 / $227.84 / $854.80	Professional	26	$100.65	$227.84	$854.80
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $339.07 / $765.74 / $2,562.41	Professional	TC	$339.07	$765.74	$2,562.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.83 / $230.51 / $615.87	Professional		$80.83	$230.51	$615.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $658.45 / $986.46 / $1,459.60	Professional		$658.45	$986.46	$1,459.60
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $201.68 / $793.04 / $793.04	Facility	26	$201.68	$793.04	$793.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $508.40 / $1,865.79 / $3,032.66	Professional		$508.40	$1,865.79	$3,032.66
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $125.05 / $441.45 / $854.80	Professional	26	$125.05	$441.45	$854.80
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $383.35 / $1,566.74 / $2,562.41	Professional	TC	$383.35	$1,566.74	$2,562.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,775.18 / $2,150.91 / $2,605.25	Professional		$1,775.18	$2,150.91	$2,605.25
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $333.80 / $487.01 / $641.23	Professional	26	$333.80	$487.01	$641.23
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,426.40 / $1,809.24 / $2,151.91	Professional	TC	$1,426.40	$1,809.24	$2,151.91
United Facility/Professional Professional Modifier Low / Median / High Price $401.15 / $893.75 / $1,625.25	Professional		$401.15	$893.75	$1,625.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $96.42 / $214.67 / $386.93	Professional	26	$96.42	$214.67	$386.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $303.39 / $687.01 / $1,256.63	Professional	TC	$303.39	$687.01	$1,256.63