Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.54 / $91.54 / $315.79	Facility	26	$91.54	$91.54	$315.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.98 / $462.68 / $1,698.32	Professional		$365.98	$462.68	$1,698.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.31 / $98.98 / $462.09	Professional	26	$81.31	$98.98	$462.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $284.67 / $371.13 / $677.81	Professional	TC	$284.67	$371.13	$677.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.30 / $611.39 / $1,751.76	Professional		$308.30	$611.39	$1,751.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.61 / $120.97 / $368.35	Professional	26	$81.61	$120.97	$368.35
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $222.25 / $490.42 / $1,457.33	Professional	TC	$222.25	$490.42	$1,457.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $224.38 / $262.20 / $402.23	Facility	26	$224.38	$262.20	$402.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.07 / $1,126.20 / $1,522.60	Professional		$490.07	$1,126.20	$1,522.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.05 / $215.79 / $308.45	Professional	26	$105.05	$215.79	$308.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $397.25 / $910.42 / $1,220.58	Professional	TC	$397.25	$910.42	$1,220.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $394.46 / $989.08 / $2,747.80	Professional		$394.46	$989.08	$2,747.80
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $100.36 / $216.18 / $774.69	Professional	26	$100.36	$216.18	$774.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $272.39 / $772.90 / $2,208.88	Professional	TC	$272.39	$772.90	$2,208.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.47 / $309.39 / $863.00	Professional		$80.47	$309.39	$863.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $423.32 / $1,014.43 / $1,437.71	Professional		$423.32	$1,014.43	$1,437.71
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $379.97 / $379.97 / $379.97	Facility	26	$379.97	$379.97	$379.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $638.66 / $1,978.15 / $2,747.80	Professional		$638.66	$1,978.15	$2,747.80
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $139.54 / $432.35 / $774.69	Professional	26	$139.54	$432.35	$774.69
Quartz Facility/Professional Professional Modifier TC Low / Median / High Price $537.00 / $1,545.80 / $2,208.88	Professional	TC	$537.00	$1,545.80	$2,208.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $710.67 / $1,639.68 / $2,274.69	Professional		$710.67	$1,639.68	$2,274.69
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $106.77 / $217.75 / $275.52	Professional	26	$106.77	$217.75	$275.52
Security Health Facility/Professional Professional Modifier TC Low / Median / High Price $422.39 / $784.35 / $1,282.96	Professional	TC	$422.39	$784.35	$1,282.96
United Facility/Professional Professional Modifier Low / Median / High Price $396.01 / $809.14 / $1,527.49	Professional		$396.01	$809.14	$1,527.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.25 / $176.85 / $324.26	Professional	26	$100.25	$176.85	$324.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $280.85 / $639.96 / $1,193.64	Professional	TC	$280.85	$639.96	$1,193.64