Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.86 / $84.17 / $117.14	Facility	26	$59.86	$84.17	$117.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.22 / $259.98 / $1,036.89	Professional		$162.22	$259.98	$1,036.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.54 / $84.17 / $333.53	Professional	26	$51.54	$84.17	$333.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.68 / $135.69 / $225.86	Professional	TC	$110.68	$135.69	$225.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.73 / $259.98 / $952.18	Professional		$167.73	$259.98	$952.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.31 / $86.58 / $303.99	Professional	26	$54.31	$86.58	$303.99
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $113.42 / $175.80 / $648.36	Professional	TC	$113.42	$175.80	$648.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $146.88 / $166.91 / $263.31	Facility	26	$146.88	$166.91	$263.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.64 / $614.19 / $697.94	Professional		$252.64	$614.19	$697.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.69 / $195.97 / $222.69	Professional	26	$80.69	$195.97	$222.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $171.96 / $418.21 / $475.24	Professional	TC	$171.96	$418.21	$475.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $193.14 / $423.00 / $1,809.00	Professional		$193.14	$423.00	$1,809.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $63.71 / $131.93 / $543.00	Professional	26	$63.71	$131.93	$543.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $125.66 / $299.07 / $1,266.00	Professional	TC	$125.66	$299.07	$1,266.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.14 / $132.74 / $312.33	Professional		$65.14	$132.74	$312.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $342.55 / $500.97 / $742.66	Professional		$342.55	$500.97	$742.66
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $254.13 / $254.13 / $254.13	Facility	26	$254.13	$254.13	$254.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $258.68 / $866.30 / $1,809.00	Professional		$258.68	$866.30	$1,809.00
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $82.54 / $291.45 / $543.00	Professional	26	$82.54	$291.45	$543.00
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $176.14 / $574.85 / $1,266.00	Professional	TC	$176.14	$574.85	$1,266.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $431.30 / $1,094.42 / $1,094.42	Professional		$431.30	$1,094.42	$1,094.42
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $155.61 / $196.89 / $317.27	Professional	26	$155.61	$196.89	$317.27
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $263.79 / $310.33 / $653.20	Professional	TC	$263.79	$310.33	$653.20
United Facility/Professional Professional Modifier Low / Median / High Price $189.37 / $403.85 / $759.31	Professional		$189.37	$403.85	$759.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.64 / $117.64 / $255.46	Professional	26	$63.64	$117.64	$255.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.66 / $280.76 / $503.85	Professional	TC	$125.66	$280.76	$503.85