Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $229.15 / $229.15 / $324.25	Facility	26	$229.15	$229.15	$324.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.47 / $516.77 / $1,436.80	Professional		$317.47	$516.77	$1,436.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.81 / $178.75 / $244.34	Professional	26	$131.81	$178.75	$244.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $185.65 / $332.35 / $583.47	Professional	TC	$185.65	$332.35	$583.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.78 / $846.02 / $2,503.23	Professional		$375.78	$846.02	$2,503.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.84 / $300.11 / $936.00	Professional	26	$147.84	$300.11	$936.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $224.93 / $515.44 / $1,672.30	Professional	TC	$224.93	$515.44	$1,672.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $403.70 / $471.76 / $723.69	Facility	26	$403.70	$471.76	$723.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.32 / $2,052.80 / $2,332.73	Professional		$472.32	$2,052.80	$2,332.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $196.44 / $681.42 / $774.34	Professional	26	$196.44	$681.42	$774.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $299.95 / $1,371.38 / $1,558.39	Professional	TC	$299.95	$1,371.38	$1,558.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $430.68 / $944.90 / $2,872.34	Professional		$430.68	$944.90	$2,872.34
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $172.74 / $361.28 / $948.42	Professional	26	$172.74	$361.28	$948.42
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $260.57 / $559.66 / $1,923.92	Professional	TC	$260.57	$559.66	$1,923.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.17 / $327.54 / $843.79	Professional		$134.17	$327.54	$843.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $675.60 / $1,098.01 / $1,685.91	Professional		$675.60	$1,098.01	$1,685.91
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $697.88 / $697.88 / $697.88	Facility	26	$697.88	$697.88	$697.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $680.07 / $1,986.50 / $2,872.34	Professional		$680.07	$1,986.50	$2,872.34
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $225.74 / $759.15 / $948.42	Professional	26	$225.74	$759.15	$948.42
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $454.32 / $1,319.00 / $1,923.92	Professional	TC	$454.32	$1,319.00	$1,923.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,187.83 / $2,818.80 / $2,818.80	Professional		$1,187.83	$2,818.80	$2,818.80
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $432.53 / $508.86 / $703.05	Professional	26	$432.53	$508.86	$703.05
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $577.13 / $678.98 / $1,286.34	Professional	TC	$577.13	$678.98	$1,286.34
United Facility/Professional Professional Modifier Low / Median / High Price $430.68 / $823.42 / $1,741.17	Professional		$430.68	$823.42	$1,741.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $172.74 / $361.10 / $673.76	Professional	26	$172.74	$361.10	$673.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $260.57 / $530.11 / $1,075.77	Professional	TC	$260.57	$530.11	$1,075.77