Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.14 / $64.14 / $222.19	Facility	26	$64.14	$64.14	$222.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.45 / $183.03 / $433.57	Professional		$111.45	$183.03	$433.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.28 / $66.15 / $180.86	Professional	26	$57.28	$66.15	$180.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.06 / $109.25 / $211.77	Professional	TC	$56.06	$109.25	$211.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.27 / $213.48 / $689.57	Professional		$121.27	$213.48	$689.57
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.36 / $104.62 / $371.03	Professional	26	$60.36	$104.62	$371.03
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.83 / $110.31 / $353.02	Professional	TC	$60.83	$110.31	$353.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $156.79 / $183.23 / $281.08	Facility	26	$156.79	$183.23	$281.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.97 / $298.75 / $339.49	Professional		$143.97	$298.75	$339.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.48 / $151.06 / $171.66	Professional	26	$66.48	$151.06	$171.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.83 / $147.69 / $175.41	Professional	TC	$70.83	$147.69	$175.41
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $352.88 / $352.88 / $352.88	Facility	26	$352.88	$352.88	$352.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $155.27 / $298.60 / $1,060.27	Professional		$155.27	$298.60	$1,060.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $70.53 / $126.72 / $369.36	Professional	26	$70.53	$126.72	$369.36
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $75.83 / $154.57 / $707.89	Professional	TC	$75.83	$154.57	$707.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $94.72 / $196.38	Professional		$41.36	$94.72	$196.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $218.44 / $333.20 / $591.44	Professional		$218.44	$333.20	$591.44
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $142.03 / $352.88 / $352.88	Facility	26	$142.03	$352.88	$352.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.82 / $661.77 / $1,060.27	Professional		$134.82	$661.77	$1,060.27
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $68.18 / $305.55 / $369.36	Professional	26	$68.18	$305.55	$369.36
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $66.65 / $408.93 / $707.89	Professional	TC	$66.65	$408.93	$707.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $255.79 / $603.44 / $603.44	Professional		$255.79	$603.44	$603.44
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $154.66 / $181.55 / $229.28	Professional	26	$154.66	$181.55	$229.28
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $124.33 / $146.27 / $309.60	Professional	TC	$124.33	$146.27	$309.60
United Facility/Professional Professional Modifier Low / Median / High Price $144.60 / $249.32 / $461.15	Professional		$144.60	$249.32	$461.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.31 / $117.18 / $229.16	Professional	26	$66.31	$117.18	$229.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.58 / $132.41 / $232.47	Professional	TC	$71.58	$132.41	$232.47