Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.03 / $216.59 / $500.04	Professional		$182.03	$216.59	$500.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.51 / $39.47 / $62.16	Professional	26	$31.51	$39.47	$62.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $143.21 / $185.09 / $437.87	Professional	TC	$143.21	$185.09	$437.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.54 / $892.42 / $1,908.19	Professional		$140.54	$892.42	$1,908.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.43 / $127.18 / $260.64	Professional	26	$18.43	$127.18	$260.64
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $122.11 / $787.18 / $1,647.56	Professional	TC	$122.11	$787.18	$1,647.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.47 / $145.99 / $207.22	Facility	26	$128.47	$145.99	$207.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.80 / $365.63 / $917.89	Professional		$126.80	$365.63	$917.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.94 / $55.90 / $133.08	Professional	26	$19.94	$55.90	$133.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $107.52 / $318.98 / $784.85	Professional	TC	$107.52	$318.98	$784.85
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $183.18 / $183.18 / $183.18	Facility	26	$183.18	$183.18	$183.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $183.53 / $331.76 / $2,077.04	Professional		$183.53	$331.76	$2,077.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.98 / $45.32 / $267.88	Professional	26	$30.98	$45.32	$267.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $141.97 / $286.44 / $1,809.15	Professional	TC	$141.97	$286.44	$1,809.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $73.25 / $830.65	Professional		$50.00	$73.25	$830.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $391.53 / $630.15 / $927.79	Professional		$391.53	$630.15	$927.79
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $79.98 / $79.98 / $183.18	Facility	26	$79.98	$79.98	$183.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $166.71 / $1,658.80 / $2,077.04	Professional		$166.71	$1,658.80	$2,077.04
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $21.54 / $226.60 / $267.88	Professional	26	$21.54	$226.60	$267.88
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $145.16 / $1,432.20 / $1,809.15	Professional	TC	$145.16	$1,432.20	$1,809.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $246.95 / $861.25 / $1,481.46	Professional		$246.95	$861.25	$1,481.46
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $34.03 / $34.03 / $131.94	Professional	26	$34.03	$34.03	$131.94
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $212.93 / $212.93 / $843.79	Professional	TC	$212.93	$212.93	$843.79
United Facility/Professional Professional Modifier Low / Median / High Price $183.53 / $331.76 / $955.47	Professional		$183.53	$331.76	$955.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.98 / $44.85 / $130.52	Professional	26	$30.98	$44.85	$130.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $145.53 / $273.80 / $824.95	Professional	TC	$145.53	$273.80	$824.95