Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.60 / $96.60 / $134.15	Facility	26	$96.60	$96.60	$134.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.87 / $472.50 / $2,687.00	Professional		$308.87	$472.50	$2,687.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.53 / $96.60 / $349.00	Professional	26	$57.53	$96.60	$349.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.71 / $308.83 / $457.83	Professional	TC	$251.71	$308.83	$457.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.83 / $498.61 / $1,724.75	Professional		$304.83	$498.61	$1,724.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.32 / $98.70 / $348.83	Professional	26	$62.32	$98.70	$348.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $242.52 / $399.91 / $1,375.97	Professional	TC	$242.52	$399.91	$1,375.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $168.51 / $191.49 / $302.08	Facility	26	$168.51	$191.49	$302.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.93 / $1,100.44 / $1,250.50	Professional		$440.93	$1,100.44	$1,250.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.40 / $225.01 / $255.69	Professional	26	$92.40	$225.01	$255.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $348.53 / $875.44 / $994.81	Professional	TC	$348.53	$875.44	$994.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $351.67 / $806.10 / $2,079.76	Professional		$351.67	$806.10	$2,079.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $72.66 / $168.71 / $405.29	Professional	26	$72.66	$168.71	$405.29
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $278.97 / $643.76 / $1,674.47	Professional	TC	$278.97	$643.76	$1,674.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.14 / $234.25 / $559.98	Professional		$65.14	$234.25	$559.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $295.02 / $724.12 / $1,042.48	Professional		$295.02	$724.12	$1,042.48
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $286.08 / $286.08 / $286.08	Facility	26	$286.08	$286.08	$286.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $463.48 / $1,650.50 / $2,079.76	Professional		$463.48	$1,650.50	$2,079.76
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $94.77 / $332.40 / $405.29	Professional	26	$94.77	$332.40	$405.29
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $368.71 / $1,318.05 / $1,674.47	Professional	TC	$368.71	$1,318.05	$1,674.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $811.29 / $1,960.85 / $1,960.85	Professional		$811.29	$1,960.85	$1,960.85
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $149.85 / $176.29 / $367.46	Professional	26	$149.85	$176.29	$367.46
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $616.37 / $725.14 / $1,626.32	Professional	TC	$616.37	$725.14	$1,626.32
United Facility/Professional Professional Modifier Low / Median / High Price $349.92 / $769.34 / $1,446.66	Professional		$349.92	$769.34	$1,446.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.48 / $132.96 / $407.47	Professional	26	$75.48	$132.96	$407.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $277.37 / $601.95 / $1,155.31	Professional	TC	$277.37	$601.95	$1,155.31