Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $177.30 / $177.30 / $197.62	Facility	26	$177.30	$177.30	$197.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.84 / $554.12 / $1,221.05	Professional		$358.84	$554.12	$1,221.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.37 / $145.65 / $330.18	Professional	26	$86.37	$145.65	$330.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $269.55 / $413.63 / $619.12	Professional	TC	$269.55	$413.63	$619.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $820.30 / $2,669.72	Professional		$340.31	$820.30	$2,669.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.34 / $195.79 / $643.83	Professional	26	$82.34	$195.79	$643.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $257.97 / $631.03 / $2,025.89	Professional	TC	$257.97	$631.03	$2,025.89
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 $482.38 / $1,222.29 / $1,388.96	Professional		$482.38	$1,222.29	$1,388.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.48 / $295.67 / $335.99	Professional	26	$101.48	$295.67	$335.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $371.56 / $926.63 / $1,052.99	Professional	TC	$371.56	$926.63	$1,052.99
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $789.92 / $789.92 / $789.92	Facility	26	$789.92	$789.92	$789.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $447.05 / $984.10 / $3,014.38	Professional		$447.05	$984.10	$3,014.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $99.85 / $224.97 / $597.70	Professional	26	$99.85	$224.97	$597.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $341.95 / $772.24 / $2,544.17	Professional	TC	$341.95	$772.24	$2,544.17
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 $669.50 / $1,003.01 / $1,477.98	Professional		$669.50	$1,003.01	$1,477.98
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $200.85 / $789.92 / $789.92	Facility	26	$200.85	$789.92	$789.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $514.79 / $1,862.70 / $3,014.38	Professional		$514.79	$1,862.70	$3,014.38
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $124.53 / $437.90 / $597.70	Professional	26	$124.53	$437.90	$597.70
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $390.27 / $1,560.96 / $2,544.17	Professional	TC	$390.27	$1,560.96	$2,544.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,011.05 / $2,177.98 / $2,627.71	Professional		$2,011.05	$2,177.98	$2,627.71
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $333.80 / $483.16 / $639.80	Professional	26	$333.80	$483.16	$639.80
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,456.54 / $1,828.00 / $2,174.21	Professional	TC	$1,456.54	$1,828.00	$2,174.21
United Facility/Professional Professional Modifier Low / Median / High Price $413.34 / $905.31 / $2,091.10	Professional		$413.34	$905.31	$2,091.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.80 / $199.68 / $383.82	Professional	26	$93.80	$199.68	$383.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $307.38 / $692.85 / $1,599.50	Professional	TC	$307.38	$692.85	$1,599.50