Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $158.26 / $158.26 / $223.85	Facility	26	$158.26	$158.26	$223.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.25 / $570.21 / $727.83	Professional		$393.25	$570.21	$727.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.71 / $158.26 / $545.00	Professional	26	$90.71	$158.26	$545.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $302.52 / $440.67 / $560.37	Professional	TC	$302.52	$440.67	$560.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.71 / $868.06 / $2,585.67	Professional		$398.71	$868.06	$2,585.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.11 / $207.02 / $647.21	Professional	26	$102.11	$207.02	$647.21
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $296.60 / $661.47 / $1,930.82	Professional	TC	$296.60	$661.47	$1,930.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $279.35 / $326.44 / $500.77	Facility	26	$279.35	$326.44	$500.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.36 / $1,828.50 / $2,077.84	Professional		$545.36	$1,828.50	$2,077.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $135.72 / $472.13 / $536.51	Professional	26	$135.72	$472.13	$536.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $399.33 / $1,356.37 / $1,541.33	Professional	TC	$399.33	$1,356.37	$1,541.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $486.01 / $1,042.48 / $2,670.75	Professional		$486.01	$1,042.48	$2,670.75
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $119.98 / $250.72 / $657.16	Professional	26	$119.98	$250.72	$657.16
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $366.03 / $791.76 / $2,013.59	Professional	TC	$366.03	$791.76	$2,013.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.30 / $265.20 / $737.50	Professional		$81.30	$265.20	$737.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $785.20 / $952.87 / $1,739.10	Professional		$785.20	$952.87	$1,739.10
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $479.89 / $479.89 / $479.89	Facility	26	$479.89	$479.89	$479.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $605.75 / $2,191.65 / $2,670.75	Professional		$605.75	$2,191.65	$2,670.75
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $156.40 / $527.10 / $657.16	Professional	26	$156.40	$527.10	$657.16
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $449.35 / $1,664.55 / $2,013.59	Professional	TC	$449.35	$1,664.55	$2,013.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,558.55 / $2,510.79 / $2,510.79	Professional		$1,558.55	$2,510.79	$2,510.79
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $316.72 / $351.91 / $552.24	Professional	26	$316.72	$351.91	$552.24
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,025.64 / $1,206.64 / $1,718.27	Professional	TC	$1,025.64	$1,206.64	$1,718.27
United Facility/Professional Professional Modifier Low / Median / High Price $479.09 / $1,003.78 / $2,014.84	Professional		$479.09	$1,003.78	$2,014.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $115.25 / $240.72 / $465.58	Professional	26	$115.25	$240.72	$465.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $363.87 / $748.03 / $1,549.26	Professional	TC	$363.87	$748.03	$1,549.26