Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $176.60 / $176.60 / $197.62	Facility	26	$176.60	$176.60	$197.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.17 / $555.15 / $1,067.97	Professional		$358.17	$555.15	$1,067.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.37 / $161.00 / $416.99	Professional	26	$86.37	$161.00	$416.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $268.88 / $414.65 / $617.58	Professional	TC	$268.88	$414.65	$617.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.67 / $821.77 / $2,674.75	Professional		$339.67	$821.77	$2,674.75
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 $257.32 / $631.77 / $2,030.93	Professional	TC	$257.32	$631.77	$2,030.93
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 $491.29 / $1,217.58 / $1,383.61	Professional		$491.29	$1,217.58	$1,383.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.86 / $295.67 / $335.99	Professional	26	$97.86	$295.67	$335.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $369.64 / $921.92 / $1,047.64	Professional	TC	$369.64	$921.92	$1,047.64
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 $449.10 / $988.62 / $3,007.15	Professional		$449.10	$988.62	$3,007.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $100.25 / $224.96 / $848.54	Professional	26	$100.25	$224.96	$848.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $343.58 / $775.93 / $2,544.17	Professional	TC	$343.58	$775.93	$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 $666.25 / $998.15 / $1,472.28	Professional		$666.25	$998.15	$1,472.28
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 $512.82 / $1,871.25 / $3,007.15	Professional		$512.82	$1,871.25	$3,007.15
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $124.53 / $439.65 / $848.54	Professional	26	$124.53	$439.65	$848.54
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $388.29 / $1,556.34 / $2,544.17	Professional	TC	$388.29	$1,556.34	$2,544.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,775.18 / $2,169.58 / $2,625.83	Professional		$1,775.18	$2,169.58	$2,625.83
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 $1,356.60 / $1,838.43 / $2,186.63	Professional	TC	$1,356.60	$1,838.43	$2,186.63
United Facility/Professional Professional Modifier Low / Median / High Price $415.03 / $899.69 / $2,017.59	Professional		$415.03	$899.69	$2,017.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.31 / $181.80 / $428.39	Professional	26	$91.31	$181.80	$428.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $314.85 / $715.80 / $1,254.80	Professional	TC	$314.85	$715.80	$1,254.80