Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $177.83 / $177.83 / $194.98	Facility	26	$177.83	$177.83	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $1,122.02	Professional		$346.74	$489.78	$1,122.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $141.25 / $323.59	Professional	26	$85.11	$141.25	$323.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $338.84 / $616.60	Professional	TC	$257.04	$338.84	$616.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $537.03 / $1,995.26	Professional		$338.84	$537.03	$1,995.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $128.82 / $478.63	Professional	26	$83.18	$128.82	$478.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $436.52 / $1,513.56	Professional	TC	$257.04	$436.52	$1,513.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $223.87 / $257.04 / $416.87	Facility	26	$223.87	$257.04	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $812.83 / $1,412.54	Professional		$363.08	$812.83	$1,412.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $186.21 / $338.84	Professional	26	$77.62	$186.21	$338.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $588.84 / $1,071.52	Professional	TC	$281.84	$588.84	$1,071.52
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $1,023.29	Professional		$630.96	$758.58	$1,023.29
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $186.21 / $251.19	Professional	26	$154.88	$186.21	$251.19
DeanCare Facility/Professional Professional Modifier TC Low / Median / High Price $478.63 / $575.44 / $794.33	Professional	TC	$478.63	$575.44	$794.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	26	$794.33	$794.33	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $851.14 / $3,019.95	Professional		$446.68	$851.14	$3,019.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $177.83 / $602.56	Professional	26	$91.20	$177.83	$602.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $660.69 / $2,570.40	Professional	TC	$338.84	$660.69	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $575.44	Professional		$32.36	$33.11	$575.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $851.14 / $1,513.56	Professional		$436.52	$851.14	$1,513.56
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $776.25 / $776.25	Facility	26	$194.98	$776.25	$776.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,862.09 / $3,019.95	Professional		$489.78	$1,862.09	$3,019.95
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $436.52 / $602.56	Professional	26	$107.15	$436.52	$602.56
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $371.54 / $1,548.82 / $2,630.27	Professional	TC	$371.54	$1,548.82	$2,630.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,187.76 / $2,951.21	Professional		$1,949.84	$2,187.76	$2,951.21
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $331.13 / $512.86 / $660.69	Professional	26	$331.13	$512.86	$660.69
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,318.26 / $1,819.70 / $2,238.72	Professional	TC	$1,318.26	$1,819.70	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $645.65 / $1,412.54	Professional		$389.05	$645.65	$1,412.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $134.90 / $316.23	Professional	26	$89.13	$134.90	$316.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $501.19 / $1,096.48	Professional	TC	$302.00	$501.19	$1,096.48