Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $229.65 / $229.65 / $324.95	Facility	26	$229.65	$229.65	$324.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.18 / $378.73 / $1,513.00	Professional		$255.18	$378.73	$1,513.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.81 / $229.65 / $826.00	Professional	26	$131.81	$229.65	$826.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.37 / $190.68 / $259.27	Professional	TC	$123.37	$190.68	$259.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.39 / $563.39 / $1,571.35	Professional		$276.39	$563.39	$1,571.35
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $148.16 / $300.70 / $936.00	Professional	26	$148.16	$300.70	$936.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.22 / $261.77 / $793.73	Professional	TC	$128.22	$261.77	$793.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $404.60 / $472.81 / $725.30	Facility	26	$404.60	$472.81	$725.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.31 / $1,288.61 / $1,464.34	Professional		$383.31	$1,288.61	$1,464.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $196.44 / $682.91 / $776.04	Professional	26	$196.44	$682.91	$776.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $184.11 / $605.72 / $688.31	Professional	TC	$184.11	$605.72	$688.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.66 / $672.01 / $1,788.06	Professional		$316.66	$672.01	$1,788.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $173.11 / $361.91 / $948.42	Professional	26	$173.11	$361.91	$948.42
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $143.55 / $310.10 / $839.64	Professional	TC	$143.55	$310.10	$839.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.85 / $238.42 / $539.20	Professional		$98.85	$238.42	$539.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $545.54 / $690.99 / $1,225.61	Professional		$545.54	$690.99	$1,225.61
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $699.38 / $699.38 / $699.38	Facility	26	$699.38	$699.38	$699.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $426.90 / $1,412.80 / $1,788.06	Professional		$426.90	$1,412.80	$1,788.06
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $226.24 / $760.85 / $948.42	Professional	26	$226.24	$760.85	$948.42
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $200.66 / $651.90 / $839.64	Professional	TC	$200.66	$651.90	$839.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $824.47 / $1,769.43 / $1,769.43	Professional		$824.47	$1,769.43	$1,769.43
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $457.97 / $508.86 / $704.62	Professional	26	$457.97	$508.86	$704.62
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $391.94 / $461.10 / $615.54	Professional	TC	$391.94	$461.10	$615.54
United Facility/Professional Professional Modifier Low / Median / High Price $316.66 / $650.14 / $1,332.84	Professional		$316.66	$650.14	$1,332.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $173.11 / $347.46 / $673.76	Professional	26	$173.11	$347.46	$673.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $143.55 / $310.10 / $615.04	Professional	TC	$143.55	$310.10	$615.04