Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $142.55 / $142.55 / $153.41	Facility	26	$142.55	$142.55	$153.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.85 / $707.44 / $2,340.00	Professional		$342.85	$707.44	$2,340.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.97 / $110.72 / $435.72	Professional	26	$72.97	$110.72	$435.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $274.27 / $387.57 / $643.41	Professional	TC	$274.27	$387.57	$643.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.47 / $609.13 / $2,570.42	Professional		$386.47	$609.13	$2,570.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.28 / $110.48 / $457.48	Professional	26	$71.28	$110.48	$457.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $310.22 / $498.65 / $2,112.94	Professional	TC	$310.22	$498.65	$2,112.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $191.04 / $217.09 / $342.46	Facility	26	$191.04	$217.09	$342.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $559.94 / $1,395.92 / $1,586.28	Professional		$559.94	$1,395.92	$1,586.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.69 / $256.29 / $291.24	Professional	26	$105.69	$256.29	$291.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $461.89 / $1,139.63 / $1,295.04	Professional	TC	$461.89	$1,139.63	$1,295.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $460.50 / $843.69 / $2,692.02	Professional		$460.50	$843.69	$2,692.02
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $83.34 / $167.80 / $462.06	Professional	26	$83.34	$167.80	$462.06
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $371.00 / $689.97 / $2,230.02	Professional	TC	$371.00	$689.97	$2,230.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.83 / $247.53 / $718.73	Professional		$80.83	$247.53	$718.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $157.44 / $920.53 / $1,325.25	Professional		$157.44	$920.53	$1,325.25
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $328.49 / $328.49 / $328.49	Facility	26	$328.49	$328.49	$328.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $587.91 / $2,187.35 / $2,692.02	Professional		$587.91	$2,187.35	$2,692.02
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $107.94 / $381.25 / $462.06	Professional	26	$107.94	$381.25	$462.06
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $479.98 / $1,806.10 / $2,230.02	Professional	TC	$479.98	$1,806.10	$2,230.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $985.69 / $2,487.37 / $2,487.37	Professional		$985.69	$2,487.37	$2,487.37
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $171.05 / $201.24 / $440.56	Professional	26	$171.05	$201.24	$440.56
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $759.87 / $893.97 / $1,694.90	Professional	TC	$759.87	$893.97	$1,694.90
United Facility/Professional Professional Modifier Low / Median / High Price $460.50 / $771.54 / $1,917.21	Professional		$460.50	$771.54	$1,917.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.25 / $153.72 / $334.17	Professional	26	$83.25	$153.72	$334.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $373.58 / $675.84 / $1,583.04	Professional	TC	$373.58	$675.84	$1,583.04