Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.71 / $101.71 / $140.99	Facility	26	$101.71	$101.71	$140.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.49 / $580.78 / $2,053.00	Professional		$463.49	$580.78	$2,053.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.28 / $101.71 / $731.00	Professional	26	$64.28	$101.71	$731.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $399.20 / $508.02 / $676.14	Professional	TC	$399.20	$508.02	$676.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $431.00 / $713.77 / $2,829.39	Professional		$431.00	$713.77	$2,829.39
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.62 / $105.46 / $423.89	Professional	26	$65.62	$105.46	$423.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $365.38 / $608.29 / $2,405.50	Professional	TC	$365.38	$608.29	$2,405.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $175.72 / $199.68 / $315.00	Facility	26	$175.72	$199.68	$315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.83 / $1,528.55 / $1,736.99	Professional		$611.83	$1,528.55	$1,736.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.13 / $235.38 / $267.48	Professional	26	$97.13	$235.38	$267.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $514.71 / $1,293.20 / $1,469.55	Professional	TC	$514.71	$1,293.20	$1,469.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $516.54 / $983.46 / $2,964.79	Professional		$516.54	$983.46	$2,964.79
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $77.88 / $149.13 / $426.62	Professional	26	$77.88	$149.13	$426.62
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $438.55 / $834.32 / $2,538.10	Professional	TC	$438.55	$834.32	$2,538.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.92 / $322.37 / $774.03	Professional		$67.92	$322.37	$774.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $795.73 / $1,005.72 / $1,402.50	Professional		$795.73	$1,005.72	$1,402.50
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $301.25 / $301.25 / $301.25	Facility	26	$301.25	$301.25	$301.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $643.79 / $2,410.69 / $2,964.79	Professional		$643.79	$2,410.69	$2,964.79
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $99.13 / $356.25 / $426.62	Professional	26	$99.13	$356.25	$426.62
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $544.66 / $2,054.40 / $2,538.10	Professional	TC	$544.66	$2,054.40	$2,538.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,146.67 / $2,723.76 / $2,723.76	Professional		$1,146.67	$2,723.76	$2,723.76
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $159.03 / $187.09 / $322.81	Professional	26	$159.03	$187.09	$322.81
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $923.94 / $1,086.99 / $1,938.48	Professional	TC	$923.94	$1,086.99	$1,938.48
United Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $983.46 / $2,112.98	Professional		$510.00	$983.46	$2,112.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.62 / $138.63 / $312.25	Professional	26	$73.62	$138.63	$312.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $434.16 / $834.32 / $1,800.73	Professional	TC	$434.16	$834.32	$1,800.73