Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.30 / $60.30 / $350.17	Facility	26	$60.30	$60.30	$350.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.86 / $411.25 / $1,783.70	Professional		$237.86	$411.25	$1,783.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.96 / $65.79 / $391.00	Professional	26	$36.96	$65.79	$391.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $201.88 / $261.81 / $709.49	Professional	TC	$201.88	$261.81	$709.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.32 / $444.29 / $1,499.76	Professional		$265.32	$444.29	$1,499.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $61.92 / $216.73	Professional	26	$38.90	$61.92	$216.73
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $226.42 / $372.39 / $1,284.22	Professional	TC	$226.42	$372.39	$1,284.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.53 / $118.78 / $187.38	Facility	26	$104.53	$118.78	$187.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.35 / $945.66 / $1,074.60	Professional		$379.35	$945.66	$1,074.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.70 / $139.81 / $158.88	Professional	26	$57.70	$139.81	$158.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $321.66 / $805.85 / $915.74	Professional	TC	$321.66	$805.85	$915.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.33 / $553.04 / $1,813.42	Professional		$288.33	$553.04	$1,813.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $46.46 / $96.35 / $328.57	Professional	26	$46.46	$96.35	$328.57
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $241.68 / $459.59 / $1,562.23	Professional	TC	$241.68	$459.59	$1,562.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $215.14 / $501.10	Professional		$65.00	$215.14	$501.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $514.79 / $756.75 / $1,143.47	Professional		$514.79	$756.75	$1,143.47
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $225.00 / $225.00 / $225.00	Facility	26	$225.00	$225.00	$225.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $398.29 / $1,472.75 / $1,813.42	Professional		$398.29	$1,472.75	$1,813.42
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $209.45 / $328.57	Professional	26	$58.88	$209.45	$328.57
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $339.41 / $1,263.25 / $1,562.23	Professional	TC	$339.41	$1,263.25	$1,562.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $647.58 / $1,685.07 / $1,685.07	Professional		$647.58	$1,685.07	$1,685.07
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $110.62 / $136.55 / $227.06	Professional	26	$110.62	$136.55	$227.06
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $473.27 / $556.79 / $1,199.86	Professional	TC	$473.27	$556.79	$1,199.86
United Facility/Professional Professional Modifier Low / Median / High Price $288.33 / $469.87 / $1,290.86	Professional		$288.33	$469.87	$1,290.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.78 / $83.78 / $183.59	Professional	26	$45.78	$83.78	$183.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $250.33 / $459.59 / $1,107.28	Professional	TC	$250.33	$459.59	$1,107.28