Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.98 / $83.98 / $116.39	Facility	26	$83.98	$83.98	$116.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.02 / $389.90 / $572.33	Professional		$330.02	$389.90	$572.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.03 / $66.23 / $257.87	Professional	26	$49.03	$66.23	$257.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $280.99 / $336.10 / $1,477.69	Professional	TC	$280.99	$336.10	$1,477.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.72 / $523.72 / $1,772.83	Professional		$314.72	$523.72	$1,772.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.18 / $83.98 / $304.60	Professional	26	$54.18	$83.98	$304.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $260.54 / $414.02 / $1,490.92	Professional	TC	$260.54	$414.02	$1,490.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $145.97 / $165.89 / $261.69	Facility	26	$145.97	$165.89	$261.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.75 / $1,124.51 / $1,277.84	Professional		$451.75	$1,124.51	$1,277.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.19 / $195.16 / $221.78	Professional	26	$80.19	$195.16	$221.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $371.56 / $929.35 / $1,056.08	Professional	TC	$371.56	$929.35	$1,056.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $378.78 / $743.36 / $2,141.04	Professional		$378.78	$743.36	$2,141.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $63.24 / $121.24 / $351.55	Professional	26	$63.24	$121.24	$351.55
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $315.45 / $622.12 / $1,789.49	Professional	TC	$315.45	$622.12	$1,789.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.50 / $243.24 / $569.29	Professional		$66.50	$243.24	$569.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $612.29 / $743.05 / $1,069.74	Professional		$612.29	$743.05	$1,069.74
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $249.77 / $249.77 / $249.77	Facility	26	$249.77	$249.77	$249.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $473.62 / $1,732.75 / $2,141.04	Professional		$473.62	$1,732.75	$2,141.04
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $82.20 / $289.64 / $351.55	Professional	26	$82.20	$289.64	$351.55
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $391.43 / $1,443.10 / $1,789.49	Professional	TC	$391.43	$1,443.10	$1,789.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $853.91 / $2,003.79 / $2,003.79	Professional		$853.91	$2,003.79	$2,003.79
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $130.69 / $153.75 / $316.39	Professional	26	$130.69	$153.75	$316.39
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $675.78 / $795.04 / $1,682.68	Professional	TC	$675.78	$795.04	$1,682.68
United Facility/Professional Professional Modifier Low / Median / High Price $366.91 / $698.22 / $1,518.76	Professional		$366.91	$698.22	$1,518.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.91 / $132.28 / $253.88	Professional	26	$59.91	$132.28	$253.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $305.32 / $601.04 / $1,264.88	Professional	TC	$305.32	$601.04	$1,264.88