Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $213.71 / $238.70 / $274.50	Facility	26	$213.71	$238.70	$274.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.62 / $699.55 / $1,494.95	Professional		$413.62	$699.55	$1,494.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.39 / $229.09 / $875.50	Professional	26	$104.39	$229.09	$875.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $307.17 / $462.42 / $993.24	Professional	TC	$307.17	$462.42	$993.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.20 / $960.69 / $3,113.68	Professional		$392.20	$960.69	$3,113.68
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.46 / $236.48 / $778.34	Professional	26	$99.46	$236.48	$778.34
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $292.74 / $731.15 / $2,335.34	Professional	TC	$292.74	$731.15	$2,335.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $267.63 / $312.75 / $415.67	Facility	26	$267.63	$312.75	$415.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.30 / $1,401.55 / $1,592.68	Professional		$561.30	$1,401.55	$1,592.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $115.66 / $358.12 / $406.95	Professional	26	$115.66	$358.12	$406.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $414.10 / $1,043.44 / $1,185.73	Professional	TC	$414.10	$1,043.44	$1,185.73
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $957.12 / $957.12 / $2,712.00	Facility	26	$957.12	$957.12	$2,712.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $567.04 / $1,374.43 / $5,981.06	Professional		$567.04	$1,374.43	$5,981.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $127.25 / $287.37 / $894.00	Professional	26	$127.25	$287.37	$894.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $430.40 / $1,063.09 / $5,438.76	Professional	TC	$430.40	$1,063.09	$5,438.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.83 / $256.26 / $679.60	Professional		$80.83	$256.26	$679.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $760.50 / $1,139.34 / $2,455.46	Professional		$760.50	$1,139.34	$2,455.46
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $243.28 / $957.12 / $957.12	Facility	26	$243.28	$957.12	$957.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $590.29 / $3,262.16 / $5,981.06	Professional		$590.29	$3,262.16	$5,981.06
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $150.83 / $530.20 / $894.00	Professional	26	$150.83	$530.20	$894.00
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $439.47 / $2,926.31 / $5,438.76	Professional	TC	$439.47	$2,926.31	$5,438.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,124.15 / $2,497.42 / $3,032.73	Professional		$2,124.15	$2,497.42	$3,032.73
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $455.18 / $580.09 / $772.62	Professional	26	$455.18	$580.09	$772.62
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,570.80 / $2,121.92 / $2,523.81	Professional	TC	$1,570.80	$2,121.92	$2,523.81
United Facility/Professional Professional Modifier Low / Median / High Price $524.54 / $1,154.70 / $2,453.60	Professional		$524.54	$1,154.70	$2,453.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $115.90 / $242.59 / $464.72	Professional	26	$115.90	$242.59	$464.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $397.29 / $888.79 / $2,194.61	Professional	TC	$397.29	$888.79	$2,194.61