Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.08 / $35.08 / $48.71	Facility	26	$35.08	$35.08	$48.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.90 / $331.64 / $1,385.01	Professional		$221.90	$331.64	$1,385.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.91 / $35.08 / $139.40	Professional	26	$20.91	$35.08	$139.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $201.28 / $240.72 / $358.87	Professional	TC	$201.28	$240.72	$358.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.96 / $353.95 / $1,205.03	Professional		$213.96	$353.95	$1,205.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.63 / $35.08 / $126.41	Professional	26	$22.63	$35.08	$126.41
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $191.33 / $300.86 / $1,093.41	Professional	TC	$191.33	$300.86	$1,093.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.38 / $68.61 / $108.23	Facility	26	$60.38	$68.61	$108.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.75 / $763.60 / $867.73	Professional		$306.75	$763.60	$867.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.56 / $80.81 / $91.84	Professional	26	$33.56	$80.81	$91.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $273.20 / $682.75 / $775.85	Professional	TC	$273.20	$682.75	$775.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $256.07 / $497.00 / $1,459.76	Professional		$256.07	$497.00	$1,459.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.34 / $51.06 / $147.05	Professional	26	$26.34	$51.06	$147.05
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $229.73 / $445.94 / $1,312.71	Professional	TC	$229.73	$445.94	$1,312.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $185.73 / $439.22	Professional		$65.00	$185.73	$439.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $416.65 / $505.62 / $755.23	Professional		$416.65	$505.62	$755.23
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $104.46 / $104.46 / $104.46	Facility	26	$104.46	$104.46	$104.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $321.60 / $1,171.40 / $1,459.76	Professional		$321.60	$1,171.40	$1,459.76
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $34.04 / $120.50 / $147.05	Professional	26	$34.04	$120.50	$147.05
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $287.56 / $1,050.95 / $1,312.71	Professional	TC	$287.56	$1,050.95	$1,312.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $576.87 / $1,360.61 / $1,360.61	Professional		$576.87	$1,360.61	$1,360.61
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $55.34 / $65.11 / $132.99	Professional	26	$55.34	$65.11	$132.99
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $489.47 / $575.85 / $1,205.50	Professional	TC	$489.47	$575.85	$1,205.50
United Facility/Professional Professional Modifier Low / Median / High Price $254.32 / $448.76 / $1,026.73	Professional		$254.32	$448.76	$1,026.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.31 / $49.22 / $105.62	Professional	26	$26.31	$49.22	$105.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $229.73 / $403.49 / $921.11	Professional	TC	$229.73	$403.49	$921.11