Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.26 / $467.96 / $1,037.32	Professional		$405.26	$467.96	$1,037.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.70 / $46.29 / $88.04	Professional	26	$42.70	$46.29	$88.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $361.00 / $421.65 / $949.29	Professional	TC	$361.00	$421.65	$949.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.92 / $1,736.01 / $3,224.36	Professional		$259.92	$1,736.01	$3,224.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.34 / $165.51 / $339.00	Professional	26	$24.34	$165.51	$339.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $235.58 / $1,570.50 / $2,885.36	Professional	TC	$235.58	$1,570.50	$2,885.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $176.91 / $201.03 / $285.35	Facility	26	$176.91	$201.03	$285.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.75 / $749.92 / $1,774.96	Professional		$376.75	$749.92	$1,774.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.87 / $73.98 / $173.07	Professional	26	$41.87	$73.98	$173.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $334.88 / $674.96 / $1,601.89	Professional	TC	$334.88	$674.96	$1,601.89
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $255.86 / $255.86 / $255.86	Facility	26	$255.86	$255.86	$255.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.09 / $560.59 / $3,946.60	Professional		$426.09	$560.59	$3,946.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.42 / $58.95 / $363.38	Professional	26	$40.42	$58.95	$363.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $372.61 / $501.64 / $3,586.83	Professional	TC	$372.61	$501.64	$3,586.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $1,662.83	Professional		$50.00	$70.00	$1,662.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $919.28 / $1,293.47 / $1,881.09	Professional		$919.28	$1,293.47	$1,881.09
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $109.64 / $109.64 / $255.86	Facility	26	$109.64	$109.64	$255.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $443.72 / $2,802.95 / $3,946.60	Professional		$443.72	$2,802.95	$3,946.60
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $43.86 / $294.75 / $363.38	Professional	26	$43.86	$294.75	$363.38
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $399.87 / $2,508.19 / $3,586.83	Professional	TC	$399.87	$2,508.19	$3,586.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $460.33 / $1,605.37 / $2,978.98	Professional		$460.33	$1,605.37	$2,978.98
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $44.51 / $44.51 / $212.11	Professional	26	$44.51	$44.51	$212.11
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $415.82 / $415.82 / $1,981.73	Professional	TC	$415.82	$415.82	$1,981.73
United Facility/Professional Professional Modifier Low / Median / High Price $408.80 / $560.59 / $1,622.68	Professional		$408.80	$560.59	$1,622.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.02 / $58.34 / $189.95	Professional	26	$43.02	$58.34	$189.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $368.38 / $501.64 / $1,630.33	Professional	TC	$368.38	$501.64	$1,630.33