Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.97 / $39.97 / $137.82	Facility	26	$39.97	$39.97	$137.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.86 / $221.16 / $550.62	Professional		$188.86	$221.16	$550.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.91 / $39.97 / $126.78	Professional	26	$23.91	$39.97	$126.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $155.47 / $179.39 / $458.77	Professional	TC	$155.47	$179.39	$458.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.88 / $345.11 / $1,208.15	Professional		$197.88	$345.11	$1,208.15
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.49 / $62.15 / $233.00	Professional	26	$36.49	$62.15	$233.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $160.26 / $280.20 / $974.18	Professional	TC	$160.26	$280.20	$974.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.42 / $112.67 / $172.85	Facility	26	$96.42	$112.67	$172.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.83 / $500.13 / $568.33	Professional		$217.83	$500.13	$568.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.09 / $93.50 / $106.25	Professional	26	$39.09	$93.50	$106.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.50 / $406.64 / $462.09	Professional	TC	$177.50	$406.64	$462.09
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $169.56 / $169.56 / $169.56	Facility	26	$169.56	$169.56	$169.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.94 / $423.15 / $1,546.49	Professional		$245.94	$423.15	$1,546.49
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $32.67 / $77.88 / $391.31	Professional	26	$32.67	$77.88	$391.31
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $207.94 / $357.44 / $1,417.87	Professional	TC	$207.94	$357.44	$1,417.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $189.55 / $386.94	Professional		$57.73	$189.55	$386.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $368.22 / $535.89 / $670.00	Professional		$368.22	$535.89	$670.00
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $169.56 / $169.56	Facility	26	$100.00	$169.56	$169.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $225.69 / $993.30 / $1,546.49	Professional		$225.69	$993.30	$1,546.49
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $42.19 / $192.40 / $391.31	Professional	26	$42.19	$192.40	$391.31
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $183.51 / $800.90 / $1,417.87	Professional	TC	$183.51	$800.90	$1,417.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $433.09 / $1,010.15 / $1,010.15	Professional		$433.09	$1,010.15	$1,010.15
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $67.06 / $98.55 / $124.70	Professional	26	$67.06	$98.55	$124.70
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $349.76 / $411.48 / $663.19	Professional	TC	$349.76	$411.48	$663.19
United Facility/Professional Professional Modifier Low / Median / High Price $231.83 / $395.46 / $757.46	Professional		$231.83	$395.46	$757.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.36 / $71.19 / $143.41	Professional	26	$34.36	$71.19	$143.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $193.06 / $335.45 / $614.04	Professional	TC	$193.06	$335.45	$614.04