Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.63 / $222.25 / $494.73	Professional		$170.63	$222.25	$494.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.57 / $114.39 / $251.92	Professional	26	$91.57	$114.39	$251.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.06 / $107.86 / $242.80	Professional	TC	$79.06	$107.86	$242.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.06 / $647.05 / $1,241.80	Professional		$109.06	$647.05	$1,241.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.84 / $367.90 / $742.32	Professional	26	$51.84	$367.90	$742.32
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.27 / $296.73 / $546.53	Professional	TC	$58.27	$296.73	$546.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $374.88 / $426.00 / $604.66	Facility	26	$374.88	$426.00	$604.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.92 / $320.94 / $756.23	Professional		$110.92	$320.94	$756.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.84 / $163.53 / $388.29	Professional	26	$57.84	$163.53	$388.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.44 / $166.76 / $331.71	Professional	TC	$54.44	$166.76	$331.71
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $579.90 / $579.90 / $579.90	Facility	26	$579.90	$579.90	$579.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.78 / $318.77 / $1,548.81	Professional		$165.78	$318.77	$1,548.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.86 / $143.88 / $832.85	Professional	26	$87.86	$143.88	$832.85
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $78.06 / $137.86 / $785.37	Professional	TC	$78.06	$137.86	$785.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $70.00 / $472.19	Professional		$54.44	$70.00	$472.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $424.80 / $558.47 / $781.77	Professional		$424.80	$558.47	$781.77
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $233.36 / $233.36 / $579.90	Facility	26	$233.36	$233.36	$579.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $129.15 / $1,365.95 / $1,548.81	Professional		$129.15	$1,365.95	$1,548.81
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $66.27 / $672.68 / $832.85	Professional	26	$66.27	$672.68	$832.85
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $55.80 / $693.33 / $785.37	Professional	TC	$55.80	$693.33	$785.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $531.74 / $531.74 / $1,220.53	Professional		$531.74	$531.74	$1,220.53
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $92.32 / $92.32 / $440.01	Professional	26	$92.32	$92.32	$440.01
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $62.13 / $62.13 / $296.08	Professional	TC	$62.13	$62.13	$296.08
United Facility/Professional Professional Modifier Low / Median / High Price $156.12 / $230.99 / $716.77	Professional		$156.12	$230.99	$716.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.86 / $131.09 / $433.99	Professional	26	$87.86	$131.09	$433.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.06 / $99.90 / $324.68	Professional	TC	$78.06	$99.90	$324.68