Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.14 / $123.73 / $232.03	Professional		$88.14	$123.73	$232.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.82 / $19.05 / $60.29	Professional	26	$16.82	$19.05	$60.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.72 / $104.68 / $192.18	Professional	TC	$72.72	$104.68	$192.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.91 / $226.67 / $641.74	Professional		$98.91	$226.67	$641.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.13 / $41.44 / $116.60	Professional	26	$18.13	$41.44	$116.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $80.83 / $185.22 / $538.61	Professional	TC	$80.83	$185.22	$538.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.11 / $413.94 / $470.39	Professional		$94.11	$413.94	$470.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.07 / $66.54 / $75.61	Professional	26	$21.07	$66.54	$75.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.02 / $347.40 / $394.78	Professional	TC	$72.02	$347.40	$394.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.77 / $234.12 / $751.09	Professional		$101.77	$234.12	$751.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.11 / $48.45 / $205.00	Professional	26	$21.11	$48.45	$205.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $77.42 / $198.29 / $630.88	Professional	TC	$77.42	$198.29	$630.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $92.86 / $210.78	Professional		$57.31	$92.86	$210.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $140.01 / $259.52 / $398.46	Professional		$140.01	$259.52	$398.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $174.35 / $523.00 / $751.09	Professional		$174.35	$523.00	$751.09
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $30.81 / $92.60 / $205.00	Professional	26	$30.81	$92.60	$205.00
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $146.33 / $430.40 / $630.88	Professional	TC	$146.33	$430.40	$630.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $164.17 / $659.81 / $737.64	Professional		$164.17	$659.81	$737.64
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $36.11 / $42.48 / $103.88	Professional	26	$36.11	$42.48	$103.88
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $91.04 / $139.93 / $439.23	Professional	TC	$91.04	$139.93	$439.23
United Facility/Professional Professional Modifier Low / Median / High Price $101.77 / $209.93 / $410.86	Professional		$101.77	$209.93	$410.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.27 / $43.85 / $81.16	Professional	26	$20.27	$43.85	$81.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.42 / $139.76 / $330.14	Professional	TC	$77.42	$139.76	$330.14