Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.02 / $114.02 / $3,868.02	Facility	26	$114.02	$114.02	$3,868.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.43 / $654.09 / $2,778.12	Professional		$433.43	$654.09	$2,778.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.15 / $114.02 / $850.00	Professional	26	$71.15	$114.02	$850.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $365.81 / $448.84 / $2,003.00	Professional	TC	$365.81	$448.84	$2,003.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.99 / $694.01 / $2,398.90	Professional		$421.99	$694.01	$2,398.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.56 / $116.10 / $411.55	Professional	26	$73.56	$116.10	$411.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $348.43 / $577.91 / $1,987.35	Professional	TC	$348.43	$577.91	$1,987.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $198.25 / $225.28 / $355.38	Facility	26	$198.25	$225.28	$355.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.21 / $1,520.68 / $1,728.05	Professional		$606.21	$1,520.68	$1,728.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.92 / $265.38 / $301.56	Professional	26	$108.92	$265.38	$301.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $497.29 / $1,255.33 / $1,426.53	Professional	TC	$497.29	$1,255.33	$1,426.53
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $510.00 / $510.00 / $510.00	Facility	26	$510.00	$510.00	$510.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $494.06 / $1,122.78 / $2,898.56	Professional		$494.06	$1,122.78	$2,898.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $85.63 / $206.94 / $479.37	Professional	26	$85.63	$206.94	$479.37
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $407.56 / $931.47 / $2,419.25	Professional	TC	$407.56	$931.47	$2,419.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.97 / $268.07 / $770.49	Professional		$80.97	$268.07	$770.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $570.19 / $997.04 / $1,435.40	Professional		$570.19	$997.04	$1,435.40
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $337.57 / $337.57 / $337.57	Facility	26	$337.57	$337.57	$337.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $640.48 / $2,298.90 / $2,898.56	Professional		$640.48	$2,298.90	$2,898.56
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $111.77 / $391.70 / $479.37	Professional	26	$111.77	$391.70	$479.37
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $528.71 / $1,907.20 / $2,419.25	Professional	TC	$528.71	$1,907.20	$2,419.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,251.84 / $2,709.69 / $2,709.69	Professional		$1,251.84	$2,709.69	$2,709.69
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $207.24 / $248.83 / $431.32	Professional	26	$207.24	$248.83	$431.32
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,034.76 / $1,044.59 / $2,346.87	Professional	TC	$1,034.76	$1,044.59	$2,346.87
United Facility/Professional Professional Modifier Low / Median / High Price $486.86 / $1,052.90 / $2,014.99	Professional		$486.86	$1,052.90	$2,014.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.48 / $156.68 / $343.33	Professional	26	$85.48	$156.68	$343.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $401.38 / $891.70 / $1,671.66	Professional	TC	$401.38	$891.70	$1,671.66