Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.83 / $74.83 / $103.91	Facility	26	$74.83	$74.83	$103.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.82 / $347.11 / $825.18	Professional		$293.82	$347.11	$825.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.60 / $74.83 / $297.12	Professional	26	$44.60	$74.83	$297.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $250.34 / $299.43 / $466.02	Professional	TC	$250.34	$299.43	$466.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.19 / $464.71 / $1,706.32	Professional		$298.19	$464.71	$1,706.32
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.27 / $74.83 / $273.41	Professional	26	$48.27	$74.83	$273.41
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $249.92 / $391.80 / $1,432.92	Professional	TC	$249.92	$391.80	$1,432.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $130.66 / $148.47 / $234.23	Facility	26	$130.66	$148.47	$234.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.35 / $1,064.82 / $1,210.03	Professional		$426.35	$1,064.82	$1,210.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.58 / $174.14 / $197.89	Professional	26	$71.58	$174.14	$197.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $354.76 / $890.67 / $1,012.13	Professional	TC	$354.76	$890.67	$1,012.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $347.39 / $671.58 / $2,033.50	Professional		$347.39	$671.58	$2,033.50
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $56.64 / $107.42 / $313.45	Professional	26	$56.64	$107.42	$313.45
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $291.33 / $566.74 / $1,720.04	Professional	TC	$291.33	$566.74	$1,720.04
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 $546.91 / $701.24 / $1,144.97	Professional		$546.91	$701.24	$1,144.97
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $222.53 / $222.53 / $222.53	Facility	26	$222.53	$222.53	$222.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $448.47 / $1,632.20 / $2,033.50	Professional		$448.47	$1,632.20	$2,033.50
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $73.34 / $259.35 / $313.45	Professional	26	$73.34	$259.35	$313.45
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $375.13 / $1,372.85 / $1,720.04	Professional	TC	$375.13	$1,372.85	$1,720.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $799.51 / $1,897.39 / $1,897.39	Professional		$799.51	$1,897.39	$1,897.39
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $117.88 / $138.68 / $295.52	Professional	26	$117.88	$138.68	$295.52
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $637.20 / $749.65 / $1,870.53	Professional	TC	$637.20	$749.65	$1,870.53
United Facility/Professional Professional Modifier Low / Median / High Price $344.29 / $621.37 / $1,430.62	Professional		$344.29	$621.37	$1,430.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.64 / $107.42 / $227.32	Professional	26	$56.64	$107.42	$227.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $290.52 / $554.14 / $1,203.30	Professional	TC	$290.52	$554.14	$1,203.30