Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $177.93 / $177.93 / $198.31	Facility	26	$177.93	$177.93	$198.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.24 / $475.00 / $777.75	Professional		$293.24	$475.00	$777.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.74 / $140.00 / $335.68	Professional	26	$86.74	$140.00	$335.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $203.68 / $335.00 / $467.95	Professional	TC	$203.68	$335.00	$467.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.61 / $668.87 / $2,192.34	Professional		$277.61	$668.87	$2,192.34
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.63 / $196.48 / $646.03	Professional	26	$82.63	$196.48	$646.03
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $478.96 / $1,546.30	Professional	TC	$194.98	$478.96	$1,546.30
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 $401.84 / $995.93 / $1,131.74	Professional		$401.84	$995.93	$1,131.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.47 / $297.13 / $337.65	Professional	26	$105.47	$297.13	$337.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $279.27 / $698.75 / $794.04	Professional	TC	$279.27	$698.75	$794.04
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $795.36 / $795.36 / $795.36	Facility	26	$795.36	$795.36	$795.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $391.10 / $954.30 / $3,482.54	Professional		$391.10	$954.30	$3,482.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $105.88 / $241.65 / $642.27	Professional	26	$105.88	$241.65	$642.27
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $281.14 / $695.79 / $2,996.90	Professional	TC	$281.14	$695.79	$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 $544.70 / $816.04 / $1,882.91	Professional		$544.70	$816.04	$1,882.91
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $201.85 / $795.36 / $795.36	Facility	26	$201.85	$795.36	$795.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $429.26 / $1,909.64 / $3,482.54	Professional		$429.26	$1,909.64	$3,482.54
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $125.15 / $441.15 / $642.27	Professional	26	$125.15	$441.15	$642.27
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $294.31 / $1,608.95 / $2,996.90	Professional	TC	$294.31	$1,608.95	$2,996.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,629.94 / $1,774.60 / $2,426.31	Professional		$1,629.94	$1,774.60	$2,426.31
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $364.14 / $520.87 / $639.59	Professional	26	$364.14	$520.87	$639.59
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,094.71 / $1,379.84 / $2,234.71	Professional	TC	$1,094.71	$1,379.84	$2,234.71
United Facility/Professional Professional Modifier Low / Median / High Price $339.53 / $805.48 / $1,576.37	Professional		$339.53	$805.48	$1,576.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.58 / $220.58 / $394.89	Professional	26	$100.58	$220.58	$394.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $238.87 / $572.41 / $1,216.30	Professional	TC	$238.87	$572.41	$1,216.30