Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $213.71 / $237.93 / $273.61	Facility	26	$213.71	$237.93	$273.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.79 / $669.75 / $1,794.28	Professional		$421.79	$669.75	$1,794.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.04 / $237.93 / $731.00	Professional	26	$104.04	$237.93	$731.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $330.39 / $414.96 / $1,160.07	Professional	TC	$330.39	$414.96	$1,160.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.38 / $1,017.37 / $3,294.83	Professional		$415.38	$1,017.37	$3,294.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.14 / $235.72 / $778.34	Professional	26	$99.14	$235.72	$778.34
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $316.24 / $788.56 / $2,516.48	Professional	TC	$316.24	$788.56	$2,516.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $266.73 / $311.70 / $414.27	Facility	26	$266.73	$311.70	$414.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $596.02 / $1,483.63 / $1,685.94	Professional		$596.02	$1,483.63	$1,685.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $116.32 / $356.94 / $405.61	Professional	26	$116.32	$356.94	$405.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $448.81 / $1,126.69 / $1,280.33	Professional	TC	$448.81	$1,126.69	$1,280.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $953.92 / $953.92 / $953.92	Facility	26	$953.92	$953.92	$953.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $601.79 / $1,455.56 / $5,981.06	Professional		$601.79	$1,455.56	$5,981.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $127.25 / $287.37 / $672.78	Professional	26	$127.25	$287.37	$672.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $463.94 / $1,135.77 / $5,438.76	Professional	TC	$463.94	$1,135.77	$5,438.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.83 / $259.32 / $737.50	Professional		$80.83	$259.32	$737.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $807.95 / $1,210.43 / $2,042.44	Professional		$807.95	$1,210.43	$2,042.44
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $242.48 / $953.92 / $953.92	Facility	26	$242.48	$953.92	$953.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $624.87 / $3,262.16 / $5,981.06	Professional		$624.87	$3,262.16	$5,981.06
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $150.34 / $530.20 / $672.78	Professional	26	$150.34	$530.20	$672.78
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $474.53 / $2,926.31 / $5,438.76	Professional	TC	$474.53	$2,926.31	$5,438.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,147.76 / $2,643.63 / $3,216.84	Professional		$2,147.76	$2,643.63	$3,216.84
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $455.18 / $580.09 / $770.15	Professional	26	$455.18	$580.09	$770.15
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,664.73 / $2,299.10 / $2,734.55	Professional	TC	$1,664.73	$2,299.10	$2,734.55
United Facility/Professional Professional Modifier Low / Median / High Price $505.97 / $1,204.18 / $2,495.89	Professional		$505.97	$1,204.18	$2,495.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $113.57 / $259.01 / $464.72	Professional	26	$113.57	$259.01	$464.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $428.25 / $942.73 / $2,003.20	Professional	TC	$428.25	$942.73	$2,003.20