Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.48 / $118.48 / $128.05	Facility	26	$118.48	$118.48	$128.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.03 / $432.89 / $534.64	Professional		$236.03	$432.89	$534.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.95 / $78.77 / $281.72	Professional	26	$52.95	$78.77	$281.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.68 / $314.41 / $475.57	Professional	TC	$173.68	$314.41	$475.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.45 / $460.56 / $1,380.46	Professional		$216.45	$460.56	$1,380.46
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.24 / $121.10 / $381.40	Professional	26	$59.24	$121.10	$381.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $157.21 / $347.53 / $990.14	Professional	TC	$157.21	$347.53	$990.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $159.50 / $186.39 / $285.92	Facility	26	$159.50	$186.39	$285.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.89 / $777.91 / $883.99	Professional		$313.89	$777.91	$883.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.48 / $213.60 / $242.73	Professional	26	$81.48	$213.60	$242.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $225.68 / $564.30 / $641.26	Professional	TC	$225.68	$564.30	$641.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $260.86 / $704.12 / $3,379.05	Professional		$260.86	$704.12	$3,379.05
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $69.13 / $151.66 / $432.70	Professional	26	$69.13	$151.66	$432.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $186.77 / $509.73 / $3,049.47	Professional	TC	$186.77	$509.73	$3,049.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $147.33 / $371.66	Professional		$56.50	$147.33	$371.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $425.10 / $636.87 / $940.64	Professional		$425.10	$636.87	$940.64
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $573.44 / $573.44 / $573.44	Facility	26	$573.44	$573.44	$573.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $327.64 / $2,403.21 / $3,379.05	Professional		$327.64	$2,403.21	$3,379.05
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $89.97 / $310.89 / $432.70	Professional	26	$89.97	$310.89	$432.70
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $237.67 / $2,221.67 / $3,049.47	Professional	TC	$237.67	$2,221.67	$3,049.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $725.11 / $1,386.14 / $1,386.14	Professional		$725.11	$1,386.14	$1,386.14
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $206.36 / $224.91 / $336.87	Professional	26	$206.36	$224.91	$336.87
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $466.88 / $518.75 / $919.71	Professional	TC	$466.88	$518.75	$919.71
United Facility/Professional Professional Modifier Low / Median / High Price $258.61 / $607.45 / $1,215.66	Professional		$258.61	$607.45	$1,215.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.28 / $151.19 / $309.49	Professional	26	$70.28	$151.19	$309.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.77 / $439.56 / $928.71	Professional	TC	$186.77	$439.56	$928.71