Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $221.23 / $238.39 / $238.39	Facility	26	$221.23	$238.39	$238.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.14 / $328.98 / $477.02	Professional		$213.14	$328.98	$477.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.66 / $149.29 / $432.96	Professional	26	$108.66	$149.29	$432.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $101.93 / $200.83 / $223.43	Professional	TC	$101.93	$200.83	$223.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.73 / $1,023.45 / $2,737.80	Professional		$420.73	$1,023.45	$2,737.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $110.61 / $255.32 / $709.21	Professional	26	$110.61	$255.32	$709.21
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $310.12 / $749.32 / $2,028.59	Professional	TC	$310.12	$749.32	$2,028.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $297.37 / $347.50 / $461.86	Facility	26	$297.37	$347.50	$461.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.90 / $1,497.06 / $1,701.20	Professional		$454.90	$1,497.06	$1,701.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.55 / $397.34 / $451.53	Professional	26	$120.55	$397.34	$451.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $332.46 / $1,099.70 / $1,249.66	Professional	TC	$332.46	$1,099.70	$1,249.66
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,061.59 / $1,061.59 / $1,061.59	Facility	26	$1,061.59	$1,061.59	$1,061.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $490.29 / $1,112.89 / $2,023.75	Professional		$490.29	$1,112.89	$2,023.75
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $129.38 / $304.30 / $717.76	Professional	26	$129.38	$304.30	$717.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $367.79 / $835.00 / $1,504.99	Professional	TC	$367.79	$835.00	$1,504.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.90 / $158.36 / $372.63	Professional		$61.90	$158.36	$372.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $566.08 / $990.00 / $1,810.22	Professional		$566.08	$990.00	$1,810.22
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $269.93 / $1,061.59 / $1,061.59	Facility	26	$269.93	$1,061.59	$1,061.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $630.53 / $1,123.30 / $1,915.39	Professional		$630.53	$1,123.30	$1,915.39
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $167.36 / $591.85 / $717.76	Professional	26	$167.36	$591.85	$717.76
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $457.79 / $611.72 / $1,435.54	Professional	TC	$457.79	$611.72	$1,435.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,337.65 / $1,375.14 / $2,160.63	Professional		$1,337.65	$1,375.14	$2,160.63
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $338.12 / $397.79 / $647.80	Professional	26	$338.12	$397.79	$647.80
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $999.53 / $1,175.92 / $2,354.94	Professional	TC	$999.53	$1,175.92	$2,354.94
United Facility/Professional Professional Modifier Low / Median / High Price $490.29 / $1,057.48 / $2,023.75	Professional		$490.29	$1,057.48	$2,023.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $126.78 / $250.00 / $518.76	Professional	26	$126.78	$250.00	$518.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $366.09 / $784.14 / $1,504.99	Professional	TC	$366.09	$784.14	$1,504.99