Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.27 / $405.12 / $840.71	Professional		$299.27	$405.12	$840.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.35 / $44.40 / $99.52	Professional	26	$35.35	$44.40	$99.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.92 / $360.73 / $741.19	Professional	TC	$263.92	$360.73	$741.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.72 / $1,258.76 / $2,780.24	Professional		$216.72	$1,258.76	$2,780.24
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.88 / $140.62 / $285.68	Professional	26	$20.88	$140.62	$285.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $195.84 / $1,243.58 / $2,515.53	Professional	TC	$195.84	$1,243.58	$2,515.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.41 / $167.53 / $237.79	Facility	26	$147.41	$167.53	$237.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.57 / $543.29 / $1,248.67	Professional		$201.57	$543.29	$1,248.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.39 / $61.73 / $143.16	Professional	26	$23.39	$61.73	$143.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $178.18 / $481.56 / $1,105.51	Professional	TC	$178.18	$481.56	$1,105.51
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $213.45 / $213.45 / $213.45	Facility	26	$213.45	$213.45	$213.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $326.27 / $446.57 / $2,779.34	Professional		$326.27	$446.57	$2,779.34
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $34.36 / $49.68 / $306.82	Professional	26	$34.36	$49.68	$306.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $292.69 / $399.77 / $2,481.83	Professional	TC	$292.69	$399.77	$2,481.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $1,135.35	Professional		$50.00	$70.00	$1,135.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $729.60 / $937.90 / $1,380.89	Professional		$729.60	$937.90	$1,380.89
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $91.22 / $91.22 / $213.45	Facility	26	$91.22	$91.22	$213.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $215.80 / $2,142.94 / $2,779.34	Professional		$215.80	$2,142.94	$2,779.34
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $23.63 / $248.40 / $306.82	Professional	26	$23.63	$248.40	$306.82
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $192.17 / $1,894.55 / $2,481.83	Professional	TC	$192.17	$1,894.55	$2,481.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $397.83 / $1,387.41 / $2,155.61	Professional		$397.83	$1,387.41	$2,155.61
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.22 / $38.22 / $182.19	Professional	26	$38.22	$38.22	$182.19
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $359.60 / $359.60 / $1,713.79	Professional	TC	$359.60	$359.60	$1,713.79
United Facility/Professional Professional Modifier Low / Median / High Price $313.07 / $428.59 / $1,156.83	Professional		$313.07	$428.59	$1,156.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.36 / $49.68 / $144.77	Professional	26	$34.36	$49.68	$144.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $282.67 / $378.91 / $1,091.26	Professional	TC	$282.67	$378.91	$1,091.26