Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.73 / $109.13 / $109.13	Facility	26	$78.73	$109.13	$109.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.47 / $239.02 / $429.23	Professional		$183.47	$239.02	$429.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.97 / $55.49 / $111.02	Professional	26	$46.97	$55.49	$111.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $136.50 / $183.01 / $313.89	Professional	TC	$136.50	$183.01	$313.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.92 / $486.28 / $1,331.97	Professional		$203.92	$486.28	$1,331.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.79 / $117.10 / $330.08	Professional	26	$50.79	$117.10	$330.08
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $153.13 / $365.77 / $1,001.90	Professional	TC	$153.13	$365.77	$1,001.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $136.97 / $160.06 / $212.73	Facility	26	$136.97	$160.06	$212.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.43 / $726.54 / $825.61	Professional		$273.43	$726.54	$825.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.43 / $182.91 / $207.85	Professional	26	$62.43	$182.91	$207.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.32 / $543.60 / $617.73	Professional	TC	$204.32	$543.60	$617.73
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $234.66 / $234.66 / $234.66	Facility	26	$234.66	$234.66	$234.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.58 / $593.46 / $1,374.92	Professional		$269.58	$593.46	$1,374.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $66.01 / $149.08 / $330.16	Professional	26	$66.01	$149.08	$330.16
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $203.58 / $459.75 / $1,044.76	Professional	TC	$203.58	$459.75	$1,044.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.63 / $156.71 / $377.33	Professional		$58.63	$156.71	$377.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $364.20 / $478.80 / $689.31	Professional		$364.20	$478.80	$689.31
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $124.25 / $234.66 / $234.66	Facility	26	$124.25	$234.66	$234.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $305.99 / $1,123.30 / $1,374.92	Professional		$305.99	$1,123.30	$1,374.92
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $77.04 / $275.05 / $330.16	Professional	26	$77.04	$275.05	$330.16
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $228.96 / $848.25 / $1,044.76	Professional	TC	$228.96	$848.25	$1,044.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $511.00 / $1,294.55 / $1,294.55	Professional		$511.00	$1,294.55	$1,294.55
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $103.70 / $122.09 / $294.69	Professional	26	$103.70	$122.09	$294.69
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $330.65 / $389.27 / $847.66	Professional	TC	$330.65	$389.27	$847.66
United Facility/Professional Professional Modifier Low / Median / High Price $247.66 / $561.65 / $984.57	Professional		$247.66	$561.65	$984.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.92 / $139.86 / $241.08	Professional	26	$61.92	$139.86	$241.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $185.74 / $431.52 / $743.49	Professional	TC	$185.74	$431.52	$743.49