Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.11 / $63.11 / $217.10	Facility	26	$63.11	$63.11	$217.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.54 / $185.85 / $466.93	Professional		$153.54	$185.85	$466.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.42 / $65.36 / $160.10	Professional	26	$56.42	$65.36	$160.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.68 / $119.51 / $294.69	Professional	TC	$99.68	$119.51	$294.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.17 / $554.12 / $1,843.57	Professional		$302.17	$554.12	$1,843.57
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.78 / $103.05 / $357.97	Professional	26	$58.78	$103.05	$357.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $235.27 / $451.08 / $1,500.73	Professional	TC	$235.27	$451.08	$1,500.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $154.09 / $180.07 / $276.23	Facility	26	$154.09	$180.07	$276.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.51 / $830.69 / $943.96	Professional		$325.51	$830.69	$943.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.97 / $148.46 / $168.70	Professional	26	$64.97	$148.46	$168.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $260.54 / $682.23 / $775.26	Professional	TC	$260.54	$682.23	$775.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $261.89 / $261.89 / $261.89	Facility	26	$261.89	$261.89	$261.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.03 / $627.07 / $1,731.57	Professional		$331.03	$627.07	$1,731.57
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $66.17 / $121.86 / $367.94	Professional	26	$66.17	$121.86	$367.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $266.07 / $520.79 / $1,410.54	Professional	TC	$266.07	$520.79	$1,410.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.10 / $134.51 / $315.99	Professional		$57.10	$134.51	$315.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $530.52 / $694.58 / $995.92	Professional		$530.52	$694.58	$995.92
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $139.58 / $261.89 / $261.89	Facility	26	$139.58	$261.89	$261.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $374.87 / $824.10 / $1,731.57	Professional		$374.87	$824.10	$1,731.57
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $66.98 / $294.35 / $367.94	Professional	26	$66.98	$294.35	$367.94
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $307.88 / $578.67 / $1,410.54	Professional	TC	$307.88	$578.67	$1,410.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $686.72 / $845.10 / $1,009.34	Professional		$686.72	$845.10	$1,009.34
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $126.63 / $148.97 / $188.50	Professional	26	$126.63	$148.97	$188.50
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $560.08 / $658.92 / $836.45	Professional	TC	$560.08	$658.92	$836.45
United Facility/Professional Professional Modifier Low / Median / High Price $324.08 / $627.07 / $1,130.09	Professional		$324.08	$627.07	$1,130.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.57 / $110.49 / $227.29	Professional	26	$62.57	$110.49	$227.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $263.43 / $501.95 / $909.34	Professional	TC	$263.43	$501.95	$909.34